Abstract:

Ideation is a set of ideas or ways of thinking that influence how people behave and how these ways of thinking are propagated within a community. Ideation has been successfully used to influence adoption of protective/preventive behavior in HIV and family planning interventions. Its use in the field of malaria is gradually gaining prominence but has been limited to bed net use.

This research investigated the demographic and behavioral factors that were associated with higher IPTp-SP ideation among women with a live birth in the two years preceding the survey. The study was quantitative in design and used cross sectional data that included 3205 women from three Nigerian states. Multilevel analysis was used to account for contextual factors.

Less than two-fifth of the women included in the analysis had higher IPTp-SP ideation. Factors that were found to be significantly associated with IPTp-SP ideation included uptake of IPTp-SP, use of ANC services, exposure to malaria messages, as well as the geographic location and prevalence of low educational status in the community where a woman lives.

Results from this study suggests that, (i) improved access to ANC services, could potentially increase IPTp-SP uptake through its effect on IPTp-SP ideation, (ii) dissemination of malaria messages especially those specific to IPTp-SP use remains a relevant option for improved utilization of IPTp-SP, (iii) there is need for interventions that specifically target communities with high prevalence of less than secondary education, in order to address those factors that negatively impact IPTp-SP ideation in such communities.

Keywords: Ideation, Malaria, Pregnancy, Nigeria, Prevention, Sulfadoxine-Pyrimethamine.

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