[Sulfadoxine-pyrimethamine-based intermittent preventive treatment in pregnant women and its effect on birth weight: application of 3-dosing regimen in the urban area of South Benin in 2017]. / Traitement préventif intermittent à la sulfadoxine-pyriméthamine chez la femme enceinte et effet sur le poids de naissance du bébé: application de la politique à 3 doses en zone urbaine au Sud Bénin en 2017.

INTRODUCTION: Malaria is a major public health problem, responsible for many complications during pregnancy including inadequate intra-uterine growth and hypotrophies. The aim of this study was to determine the adherence to the 3 doses of sulfadoxine-pyrimethamine-based intermittent preventive treatment (IPT) on birthweight in the Cotonou health zone II and III. METHODS: We conducted a cross-sectional study focusing on 630 women in the postpartum period residing in the Cotonou health zone II and III and selected using a two stage sample. Data were collected through a questionnaire and a data processing form. For analysis, data were weighted and we used variance analysis to compare means and to compare proportions with Chi-square Test including estimates regarding the strength of the association by odds ratio (OR) and confidence interval at 95%. RESULTS: Adherence to the 3 doses of sulfadoxine-pyrimethamine-based intermittent preventive treatment was 34.08% (CI95%: 24.84% 43.30%]. A significant birthweight-gain of 264.5 g (p < 0.001) in mothers who had received more than 3 doses of sulfadoxine-pyrimethamine-based intermittent preventive treatment and chances of having low birth weight baby was lower (OR = 0.45; p = 0.001) among these mothers compared to those who had received less than 3 doses of sulfadoxine pyrimethamine. CONCLUSION: This study highlights low adherence to the new 3-dose regimen of sulfadoxine-pyrimethamine-based intermittent preventive treatment in the Cotonou health zone II and III, but it reflects its potential to contribute to the reduction of the risk of low birth weight. Strategies must therefore be implemented to strengthen its application for prevention of malaria and of its consequences on vulnerable targets.

[Evaluation of the performance of the logistics management system of malaria control resources in the Littoral Department, Benin, in 2017]. / Evaluation de la performance du système de gestion logistique des intrants de lutte contre le paludisme dans le Département du Littoral, au Bénin, en 2017.

INTRODUCTION: This study aimed to evaluate the performance of the logistics management system (LMS) of malaria control (MC) resources in the Littoral Department, Benin, in 2017. METHODS: In June 2017, we conducted a cross-sectional evaluative study focusing on the structures for the storage and the disposal of MC resources as well as on staff involved in their management. The performance of the the logistics management system was evaluated on the basis of the observed compliance of the components and sub-components of the "Structure", the "Process" and the "Results" with the norms and standards defined by the Ministry of Health. RESULTS: A total of 36 structures were investigated and secondary target was surveyed. It followed that 52,78% of the structures for the storage and the disposal of MC resources met the requirements for resources storage while only 33.33% of MC resources management staff were trained in logistics management. The performance of the logistics management system of MC resources was inadequate (compliance 59,13 % compared to the expected score). The structure, as well as the process were non-compliant with the standards ( 60,20% and 73.22% compared to the expected score respectively), leading to negative results (41.53% compared to the expected score). The most inadequate sub-component was the logistics management information system (LMIS). CONCLUSION: This study highlights the role of LMS for better performance of MC resources management. Particular attention should be given to this component.