Kenya

Table 4.3 Use of intermittent preventive treatment (IPTp) by women during pregnancy
in the lake endemic and coast endemic zones
Percentage of women age 15-49 in the lake endemic and coast endemic zones with a live
birth in the 2 years preceding the survey who, during the pregnancy preceding the last birth,
received one or more doses of SP/Fansidar at least one of which was received during an ANC
visit; received two or more doses of SP/Fansidar at least one of which was received during an
ANC visit; and received three or more doses of SP/Fansidar at least one of which was received
during an ANC visit, by background characteristics, Kenya 2015
Background
characteristic
Percentage
who received 1
or more doses
of SP/Fansidar 1
Percentage
who received 2
or more doses
of SP/Fansidar 1
Percentage
who received 3
or more doses
of SP/Fansidar 1
Number of
women with a
live birth in the
2 years
preceding the
survey
Residence
Urban 76.4 59.4 47.5 96
Rural 77.1 54.3 33.7 249
Malaria endemicity
Lake endemic 77.4 54.7 35.3 244
Coast endemic 75.8 58.1 42.8 101
Education
No education 79.4 50.1 38.1 27
Primary incomplete 66.0 50.0 33.9 64
Primary complete 84.2 59.6 38.8 134
Secondary+ 74.1 55.6 37.9 120
Wealth quintile
Lowest 73.7 55.0 39.7 68
Second 73.2 46.9 28.8 107
Middle 80.9 58.6 33.1 71
Fourth 79.9 61.2 41.0 53
Highest 80.7 66.3 57.0 47
Total 76.9 55.7 37.5 345
1
Received the specified number of doses of SP/Fansidar, at least one of which was received
during an ANC visit.
With respect to socioeconomic differentials in IPTp use within endemic areas, Table 4.3
shows that women living in urban areas in the endemic zones were more likely than rural women to
have received IPTp. The urban-rural differential is particularly marked with respect to the receipt of
three or more doses of SP; just under half of urban women living in endemic areas received three or
more doses compared with only one-third of rural women. Table 4.3 also shows that the likelihood of
receiving IPTp in malaria endemic areas did not vary consistently with either education or wealth.
Finally, Figure 4.1 presents the trend in the proportion of women in malaria endemic areas in
Kenya receiving IPTp according to the number of doses of SP they received. 1 The results show that
the proportion of women living in endemic areas who reported receiving at least one dose of SP
during a recent pregnancy nearly tripled between 2007 and 2015, rising from 26 percent to 77
percent. Over half of the women received two or more doses in 2015 compared with 14 percent in
2007. The proportion of women in endemic areas who took three doses of SP during pregnancy also
increased substantially from 7 percent in 2007 to 38 percent in 2015.
1
The questions employed to collect information on IPTp use in the 2015 KMIS differed from the questions that
were in both the 2007 and 2010 KMIS surveys. As a result, while the steady upward trend in IPTp coverage
throughout the period 2007-2015 is unquestionable, some caution is necessary when assessing the exact
magnitude of the difference in IPTp coverage between the 2015 KMIS and the earlier surveys.
52 • Malaria in Pregnancy