Kenya

Figure 4.1 Trends in IPTp in malaria endemic areas
Percent
77
56
42
38
26
14
7
22
11
2007 KMIS 2010 KMIS 2015 KMIS
1 or more doses 2 or more doses 3 or more doses
Note: Refers to the percentage of women with a live birth during the 2 years prior to the survey who took the referenced doses of SP, at least 1 of
which was received during an ANC visit.
4.3 CONCLUSIONS
IPTp coverage in malaria-endemic areas increased substantially compared with findings of
previous surveys. However, despite substantial improvement, only 38 percent of pregnant women in
malaria endemic regions received at least 3 doses of IPTp, which is well below the Kenya National
Malaria Strategy target of 80 percent.
4.4 RECOMMENDATIONS
To meet the target of 80 percent of pregnant women receiving 3 or more doses of IPTp in
malaria endemic areas, continued investments in ANC services and the malaria in pregnancy
intervention package are necessary. The government should continue to prioritise free ANC services;
ensure SP availability for IPTp; provide continuous training and capacity building for health providers;
and develop enhanced advocacy, communication, and social mobilisation efforts to increase
community demand for malaria prevention and control measures.
Especially in light of the survey results indicating IPTp is often given in non-endemic areas
where the intervention is not recommended, it is imperative for the NMCP to engage the non-endemic
regions (and respective county governments) in a dialogue to reinforce adherence to policy guidelines
to prevent misuses of commodities and wastage of limited resources.
Malaria in Pregnancy • 53