scholarly journals Malaria control aimed at the entire population in KwaZulu-Natal negates the need for policies to prevent malaria in pregnancy

2013 ◽  
Vol 103 (3) ◽  
pp. 172
Author(s):  
J M Tsoka-Gwegweni ◽  
I Kleinschmidt
Keyword(s):  
Malaria Control ◽  
Malaria In Pregnancy ◽  
Entire Population ◽  
Kwazulu Natal ◽  
In Pregnancy

scholarly journals Risk factors for Plasmodium falciparum infection in pregnant women in Burkina Faso: a community-based cross-sectional survey

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Jean Baptiste Yaro ◽  
Alphonse Ouedraogo ◽  
Amidou Diarra ◽  
Salif Sombié ◽  
Z. Amidou Ouedraogo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Plasmodium Falciparum ◽  
Burkina Faso ◽  
Pregnant Women ◽  
Malaria Control ◽  
Dry Season ◽  
Malaria In Pregnancy ◽  
Wet Season ◽  
Cross Sectional ◽  
In Pregnancy

Abstract Background Malaria in pregnancy remains a public health problem in sub-Saharan Africa. Identifying risk factors for malaria in pregnancy could assist in developing interventions to reduce the risk of malaria in Burkina Faso and other countries in the region. Methods Two cross-sectional surveys were carried out to measure Plasmodium falciparum infection using microscopy in pregnant women in Saponé Health District, central Burkina Faso. Data were collected on individual, household and environmental variables and their association with P. falciparum infection assessed using multivariable analysis. Results A total of 356 pregnant women were enrolled in the surveys, 174 during the dry season and 182 during the wet season. The mean number of doses of sulfadoxine–pyrimethamine for Intermittent Preventive Treatment in pregnancy (IPTp-SP) was 0.4 doses during the first trimester, 1.1 doses at the second and 2.3 doses at the third. Overall prevalence of P. falciparum infection by microscopy was 15.7%; 17.8% in the dry season and 13.7% in the wet season. 88.2% of pregnant women reported sleeping under an insecticide-treated net (ITN) on the previous night. The odds of P. falciparum infection was 65% lower in women who reported using an ITN compared to those that did not use an ITN (Odds ratio, OR = 0.35, 95% CI 0.14–0.86, p = 0.02). IPTp-SP was also associated with reduced P. falciparum infection, with each additional dose of IPTp-SP reducing the odds of infection by 44% (OR = 0.56, 95% CI 0.39–0.79, p = 0.001). Literate women had a 2.54 times higher odds of P. falciparum infection compared to illiterate women (95% CI 1.31–4.91, p = 0.006). Conclusions The prevalence of P. falciparum infection among pregnant women remains high in Burkina Faso, although use of IPTp-SP and ITNs were found to reduce the odds of infection. Despite this, compliance with IPTp-SP remains far from that recommended by the National Malaria Control Programme and World Health Organization. Behaviour change communication should be strengthened to encourage compliance with protective malaria control tools during pregnancy.

scholarly journals Risk Factors for Plasmodium Falciparum Infection in Pregnant Women in Burkina Faso: A Community-Based Malaria Cross-Sectional Survey

2021 ◽  
Author(s):  
Jean Baptiste Yaro ◽  
Alphonse Ouedraogo ◽  
Amidou Diarra ◽  
Salif Sombié ◽  
Z Amidou Ouedraogo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Plasmodium Falciparum ◽  
Burkina Faso ◽  
Pregnant Women ◽  
Malaria Control ◽  
Dry Season ◽  
Malaria In Pregnancy ◽  
Wet Season ◽  
Cross Sectional ◽  
In Pregnancy

Abstract Background: Malaria in pregnancy remains a public health problem in sub-Saharan Africa. Identifying risk factors for malaria in pregnancy could assist in developing interventions to reduce the risk of malaria in Burkina Faso and other countries in the region.Methodology: Two cross-sectional surveys were carried out to measure Plasmodium falciparum infection using microscopy in pregnant women in Saponé Health District, central Burkina Faso. Data were collected on individual, household and environmental variables and their association with P. falciparum infection assessed using multivariate analysis. Results: A total of 356 pregnant women were enrolled in the surveys, 174 during the dry season and 182 during the wet season. The mean number of doses of sulphadoxine pyrimethamine for Intermittent Preventive Treatment in pregnancy (IPTp-SP) was 0.4 doses during the first trimester, 1.1 doses at the second and 2.3 doses at the third. Overall prevalence of P. falciparum infection by microscopy was 15.7%; 17.8% in the dry season and 13.7% in the wet season. 88.2% of pregnant women reported sleeping under an insecticide-treated net on the previous night. P. falciparum infection risk in pregnancy was reduced in those women who reported using an ITN (Odds ratio, OR=0.31, 95% CI 0.12-0.79, p=0.02) and an increasing number of IPTp-SP doses during pregnancy, with each additional dose reducing the odds by 40% (OR=0.59, 95% CI 0.43–0.81, p<0.001). ConclusionThe prevalence of P. falciparum infection among pregnant women remains high in Burkina Faso although use of IPTp-SP and ITNs were found to reduce the odds of infection. Despite this, compliance with IPTp remains far from that recommended by the National Malaria Control Programme and World Health Organization. Behaviour change communication should be improved to encourage compliance with protective malaria control tools during pregnancy.

Impact of Malaria in Pregnancy on Risk of Malaria in Young Children: Systematic Review and Meta-Analyses

2019 ◽  
Author(s):  
Sangshin Park ◽  
Christina E. Nixon ◽  
Olivia Miller ◽  
Nam-Kyong Choi ◽  
Jonathan D. Kurtis ◽  
...  
Keyword(s):  
Systematic Review ◽  
Young Children ◽  
Malaria In Pregnancy ◽  
Meta Analyses ◽  
In Pregnancy

scholarly journals Acceptability of single screening and treatment policy for the control of malaria in pregnancy: perceptions of providers and pregnant women from selected health facilities in Lindi region, Tanzania

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Chonge Kitojo ◽  
Frank Chacky ◽  
Emmanuel S. Kigadye ◽  
Joseph P. Mugasa ◽  
Abdallah Lusasi ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Health Facilities ◽  
Malaria In Pregnancy ◽  
National Guidelines ◽  
Qualitative And Quantitative ◽  
Main Challenge ◽  
Malaria Rapid Diagnostic Tests ◽  
Experienced Pain ◽  
Care Workers ◽  
In Pregnancy

Abstract Background Tanzania started implementing single screening and treatment (SST) for all pregnant women attending their first antenatal care (ANC) visits in 2014, using malaria rapid diagnostic tests (RDTs) and treating those who test positive according to the national guidelines. However, there is a paucity of data to show the acceptability of SST to both pregnant women and health care workers (HCWs), taking into consideration the shortage of workers and the added burden of this policy to the health system. This study assessed the perceptions and opinions of health service users and providers to determine the acceptability of SST policy. Methods Pregnant women and HCWs in eight health facilities in two districts of Lindi region (Kilwa and Lindi) were interviewed using semi-structured questionnaires with open and close-ended questions. Both qualitative and quantitative data were collected, including demographic characteristics, women’s experience, their perception on SST and challenges they face when receiving services for malaria offered at ANC. Experience of HCWs regarding the implementation of SST as part of routine services and the challenges encountered when providing ANC services for malaria in pregnancy (MIP) were also assessed. Results Of the 143 pregnant women interviewed, 97% viewed testing favourably and would wish to be tested for malaria again, while 95% were satisfied with services and reasons for testing during the first ANC visit. Nearly all (99%) would recommend their fellow pregnant women to be tested for malaria and all women recommended that the Ministry of Health should continue the SST strategy. This was despite the fact that 76% of the women experienced pain and 16% had anxiety as a result of finger prick. Sixteen HCWs (mostly nurses) were interviewed; they also viewed SST implementation favourably and reported feeling empowered to use RDTs for malaria screening. The main challenge identified by HCWs was that nurses are not allowed to prescribe anti-malarials to women who test positive and need to refer them to the outpatient department for treatment. Conclusion SST was considered an acceptable approach to control MIP by HCWs and pregnant women, and they recommended the continuation of the policy. In addition, consideration should be given to implementing a task-shifting policy to allow nurses to dispense anti-malarials to pregnant women.

scholarly journals Associations Between Malaria in Pregnancy and Neonatal Neurological Outcomes

2021 ◽  
Author(s):  
Harriet L.S. Lawford ◽  
Mercy A. Nuamah ◽  
Helen G. Liley ◽  
Alison Griffin ◽  
Cecilia E. Lekpor ◽  
...  
Keyword(s):  
Malaria In Pregnancy ◽  
Neurological Outcomes ◽  
In Pregnancy
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