Malaria in pregnancy

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KIT Dossier Malaria in pregnancy

Last update: Monday 29 July 2013

This Quick Link is a predefined search and offers access to all KIT Library resources in the field of Malaria and Pregnancy.

2013

Factors affecting the delivery, access, and use of interventions to prevent Malaria in pregnancy in Sub-Saharan Africa: A systematic review and meta-analysis
Hill J., Hoyt J., van Eijk AM, et al.
The authors conducted a systematic review to explore factors affecting delivery, access, and use of IPTp and ITNs among healthcare providers and women.
Delivery of ITNs through antenatal clinics presents fewer problems than delivery of IPTp. Many obstacles to IPTp delivery are relatively simple barriers that could be resolved in the short term. Other barriers are more entrenched within the overall healthcare system or socio-economic/cultural contexts, and will require medium- to long-term strategies.
PLOS Medicine | 2013
Impact of malaria during pregnancy on pregnancy outcomes in a Ugandan prospective cohort with intensive malaria screening and prompt treatment
De Beaudrap P., Turyakira E., White L. et al.
In this study, the timing, parasitaemia level and number of peripherally-detected malaria infections, but not the presence of fever, were associated with adverse birth outcomes. Hence, prompt malaria detection and treatment should be offered to pregnant women regardless of symptoms or other preventive measures used during pregnancy, and with increased focus on mothers living in remote areas.
Malaria Journal | May 2013
Gender differences in the use of insecticide-treated nets after a universal free distribution campaign in Kano State, Nigeria: post-campaign survey results
Garley A., Ivanovich E., Eckert E. et al.
Recent expansion in insecticide-treated net (ITN) distribution strategies range from targeting pregnant women and children under five and distributing ITN at antenatal care and immunization programmes, to providing free distribution campaigns to cover an entire population. These changes in strategy raise issues of disparities, such as equity of access and equality in ITN use among different groups, including females and males.
This study reveals gender disparity in ITN use, with males less likely to use ITNs particularly among ages 15–25 years. The uptake of the intervention among the most at-risk group (females) is higher than males, which may be reflective of earlier strategies for malaria interventions. Further research is needed to identify whether gender disparities in ITN use are related to traditional targeting of pregnant women and children with malaria interventions; however, results provide evidence to design gender-sensitive messaging for universal ITN distribution campaigns to ensure that males benefit equally from such communications and activities.
Impact of malaria during pregnancy on pregnancy outcomes in a Ugandan prospective cohort with intensive malaria screening and prompt treatment
De Beaudrap P., Turyakira E., White l. et al.
This study followed a prospective cohort of pregnant women who had access to intensive malaria screening and prompt treatment to identify factors associated with increased risk of MiP and to analyse how various characteristics of MiP affect delivery outcomes.
In this study, the timing, parasitaemia level and number of peripherally-detected malaria infections, but not the presence of fever, were associated with adverse birth outcomes. Hence, prompt malaria detection and treatment should be offered to pregnant women regardless of symptoms or other preventive measures used during pregnancy, and with increased focus on mothers living in remote areas.
Malaria Journal | April 2013
World Malaria Day 2013
Progress and gaps in the treatment for malaria
Uncomplicated malaria among pregnant women in the Brazilian Amazon: Local barriers to prompt and effective case management
Borges Luz T., Suárez-Mutis M., Miranda S. et al.
This study aims to identify the local barriers to prompt and effective case management of malaria in pregnancy and was carried out in health facilities located in three endemic municipalities of the Brazilian Amazon. The study design combined both qualitative and quantitative descriptive methods. Flaws were detected in diagnosis and treatment. Training, knowledge and counseling were also sub-optimal. These results indicated the need to improve the health-worker performance through training.
Acta Tropica | 2013

2012

Prevalence, pattern, and determinants of placental malaria in a population of southeastern Nigerian parturients
Ezebialua I., Eke A., Ezeagwuna D. et al.
Placental malaria is a complication of malaria in pregnancy and is associated with adverse outcomes. Its burden is highest in Sub-Saharan Africa, but despite this, data based on histological analysis are scarce from this region. This study showed that the prevalence of placental malaria in southeastern Nigeria is high, and demonstrated that the mean parasite density was inversely related to parity. Significant factors associated with placental malaria were also identified. Appreciation of these significant factors will assist program managers in implementing the strategies for the prevention of malaria in pregnancy.
International Journal of Infectious Diseases | 2012
Malaria Policy Advisory Committee to the WHO: conclusions and recommendations of September 2012 meeting
WHO Malaria Policy Advisory Committee and Secretariat
This article provides a summary of the discussions, conclusions and recommendations from the meeting.
Malaria Journal | 2012
A population pharmacokinetic model of piperaquine in pregnant and non-pregnant women with uncomplicated Plasmodium falciparum malaria in Sudan
Hoglund R., Adam I., Hanpithakpong W. et al.
Pregnancy is associated with an increased risk of developing a malaria infection and a higher risk of developing severe malaria. The pharmacokinetic properties of many anti-malarials are also altered during pregnancy, often resulting in a decreased drug exposure. Piperaquine is a promising anti-malarial partner drug used in a fixed-dose combination with dihydroartemisinin. The aim of this study was to investigate the population pharmacokinetics of piperaquine in pregnant and non-pregnant Sudanese women with uncomplicated Plasmodium falciparum malaria.
Malaria Journal | 2012
Peripheral blood cell signatures of plasmodium falciparum infection during pregnancy
Ibitokou S., Oesterholt M., Brutus L. et al.
Sequestration of Plasmodium falciparum-infected erythrocytes in placental intervillous spaces causes inflammation and pathology. Knowledge of the profiles of immune cells associated with the physiopathology of pregnancy-associated malaria (PAM) is scarce. The authors conducted a longitudinal, prospective study, both in Benin and Tanzania, including ~1000 pregnant women in each site with systematic follow-up at scheduled antenatal visits until delivery. Findings emphasize the prominent role played by B cells during PAM whenever it arises during pregnancy, whilst also revealing signature changes in other circulating cell types that primarily reflect the relative duration of the infections. Thus, the acute, recently-acquired infections present at delivery were marked by changes in DC and Teff frequencies, contrasting with infections at inclusion, considered chronic in nature, that were characterized by an abundance of immature monocytes and a paucity of Treg in PBMC.
PLoS ONE | 2012
Biomarkers of Plasmodium falciparum infection during pregnancy in women living in northeastern Tanzania
Boström S., Ibitokou S., Oesterholt M., et al.
In pregnant women, Plasmodium falciparum infections are an important cause of maternal morbidity as well as fetal and neonatal mortality. Erythrocytes infected by these malaria-causing parasites accumulate through adhesive interactions in placental intervillous spaces, thus evading detection in peripheral blood smears. Sequestered infected erythrocytes induce inflammation, offering the possibility of detecting inflammatory mediators in peripheral blood that could act as biomarkers of placental infection. In a longitudinal, prospective study in Tanzania, the authors quantified a range of different cytokines, chemokines and angiogenic factors in peripheral plasma samples, taken on multiple sequential occasions during pregnancy up to and including delivery, from P. falciparum-infected women and matched uninfected controls. The results show that during healthy, uninfected pregnancies the levels of most of the panel of molecules they measured were largely unchanged except at delivery.
PLoS ONE | 2012
WHO updates guidance on intermittent preventive treatment of malaria in pregnancy
Intermittent preventive treatment for pregnant women (IPTp) with sulfadoxine-pyrimethamine (SP) remains a powerful tool against malaria in countries with moderate to high stable malaria transmission. Yet there has been confusion, lapses and very poor coverage with this intervention with little progress toward the Roll back malaria target of 80% coverage with two doses during pregnancy. WHO has recently revisited this strategy and has issued revised recommendations, reproduced in this Update. Importantly, according to the WHO, these also address some of the myths about IPTp with SP.
World Health Organization | October 2012
The Malaria in Pregnancy Library: a bibliometric review
Van Eijk A., Hill J., Povall S. et al.
The last decade has seen a dramatic increase in publications related to malaria in pregnancy, and an increasing proportion of these are publically available online. The MiP Library is a useful, scholarly source for literature and systematic reviews related to malaria in pregnancy.
Malaria Journal | 2012
Sub-optimal delivery of intermittent preventive treatment for malaria in pregnancy in Nigeria: influence of provider factors
Onoka C., Onwujekwe O., Hanson K. et al.
The level of access to intermittent preventive treatment for malaria in pregnancy (IPTp) in Nigeria is still low despite relatively high antenatal care coverage in the study area. This paper presents information on provider factors that affect the delivery of IPTp in Nigeria.
Malaria Journal | 2012
Validity of self-reported use of sulphadoxinepyrimethamine intermittent presumptive treatment during pregnancy (IPTp): a cross-sectional study
Namusoke F., Ntale M., Wahlgren M. et al.
The results of this study question the accuracy of self-reported data in estimating IPTp coverage in the population. More studies on validity of self reported data are recommended. Since the validity of IPTp self reports is vital for guiding policy on malaria control in pregnancy, ways should be sought to improve accuracy of the information from such reports.
Malaria Journal | 2012
New insights into acquisition, boosting, and longevity of immunity to malaria in pregnant women
Fowkes F., McGready R., Cross N. et al.
How antimalarial antibodies are acquired and maintained during pregnancy and boosted after reinfection with Plasmodium falciparum and Plasmodium vivax is unknown. A nested case-control study of 467 pregnant women (136 Plasmodium-infected cases and 331 uninfected control subjects) in northwestern Thailand was conducted.
Results. Antibodies to P. falciparum and P. vivax were highly variable over time, and maintenance of high levels of antimalarial antibodies involved highly dynamic responses resulting from intermittent exposure to infection. There was evidence of boosting with each successive infection for P. falciparum responses, suggesting the presence of immunological memory. However, the half-lives of Plasmodium antibody responses were relatively short, compared with measles, and much shorter for merozoite responses, compared with PfVAR2CSA responses. These findings may have important practical implications for predicting the duration of vaccine induced responses by candidate antigens and supports the development of malaria vaccines to protect pregnant women.
Journal of Infectious Diseases | 2012
Plasmodium falciparum parasitaemia in the first half of pregnancy, uterine and umbilical artery blood flow, and foetal growth: a longitudinal Doppler ultrasound study
Griffin J., Lokomba V., Landis S. et al.
Early pregnancy malaria parasitaemia affects uterine and umbilical artery blood flow, possibly due to alterations in placentation and angiogenesis, respectively. Among primigravidae, early pregnancy malaria parasitaemia increases the risk of intrauterine growth restriction. The findings support the initiation of malaria parasitaemia prevention and control efforts earlier in pregnancy.
Malaria Journal | 2012
Effect of malaria in pregnancy on foetal cortical brain development: a longitudinal observational study
Rijken M., de Wit M., Mulder E. et al.
Malaria in pregnancy has a negative impact on foetal growth, but it is not known whether this also affects the foetal nervous system. The aim of this study was to examine the effects of malaria on foetal cortex development by three-dimensional ultrasound. The percentage of images that could be graded was similar to other neuro-sonographic studies. Maternal malaria does not have a gross effect on foetal brain development, at least in this population, which had access to early detection and effective treatment of malaria.
Malaria Journal | 2012
Africa: Malaria Policy Center Launches New Website to Provide in-Depth and Up to Date Information On Progress in the Malaria Fight
allAfrica | June 2012
Essential malaria actions guide for Kenyan families
This guide is designed to assist district health managers, health workers, and NGO partners in planning and implementing malaria social and behaviour change communication activities at community level. The guide seeks to ensure harmonisation of communication approaches and promotes seven essential malaria actions that fall into four categories: long-lasting insecticide-treated nets use, malaria case management, indoor residual spraying, and prevention of malaria during pregnancy. The guide seeks to enable district health teams, partners, and stakeholders implementing advocacy, communication and social mobilisation activities.
Division of Malaria Control Kenya | 2012 | 30 pp.
A systematic review of the safety and efficacy of artemether-lumefantrine against uncomplicated Plasmodium falciparum malaria during pregnancy
Manyando C., Kayentao K., D’Alessandro U. et al.
There is evidence to suggest that the pharmacokinetics of anti-malarial drugs may change in pregnancy, although the impact on efficacy and safety needs to be studied further, especially since the majority of studies report high cure rates and adequate tolerability. As there are fewer reports of AL safety in the first trimester, additional data are required to assess the potential to use AL in the first trimester. Though the available safety and efficacy data support the use of AL in the second and third trimesters, there is still a need for further information. These findings reinforce the WHO recommendation to treat uncomplicated falciparum malaria with quinine plus clindamycin in early pregnancy and ACT in later pregnancy.
Malaria Journal | 2012
Temporal trends of sulphadoxine-pyrimethamine (SP) drug-resistance molecular markers in Plasmodium falciparum parasites from pregnant women in western Kenya
Iriemenam N., Shah M., Gatei W. et al.
Resistance to sulphadoxine-pyrimethamine (SP) in Plasmodium falciparum parasites is associated with mutations in the dihydrofolate reductase (dhfr) and dihydropteroate synthase (dhps) genes and has spread worldwide. SP remains the recommended drug for intermittent preventive treatment for malaria in pregnancy (IPTp) and information on population prevalence of the SP resistance molecular markers in pregnant women is limited.
Malaria Journal | 2012 | 30 pp.
Malaria in Pregnancy: A solvable problem
At the end of June 2012, doctors, public health professionals, researchers, and scientists convened in Istanbul to attend “Malaria in Pregnancy: A Solvable Problem," a conference organized by the Harvard School of Public Health’s Maternal Health Task Force. The objective of the meeting was to share successes and challenges in MiP coverage from different countries, with the goal of identifying steps to improve coverage and reduce malaria in pregnancy. Coverage of the conference can be accessed at the Maternal Health Task Force’s blog and at the Malaria Matters blog
Malaria in Pregnancy Blog Series
Maternal Health Task Force’s Blog
The President’s Malaria Initiative
Sixth Annual Report to Congress
PMI supports operations research projects designed to inform and improve program implementation and contribute to global malaria control efforts.
USAID | 2012
The epidemiology of postpartum malaria: a systematic review
Boel M., Rijken M., Brabin B. et al.
The results of this review have to be carefully interpreted, as the majority of studies were not designed to study postpartum malaria, and there was large variability in study designs and reported outcomes. Current evidence suggests an effort should be made to detect and radically cure malaria during pregnancy so that women do not enter the postpartum period with residual parasites.
Malaria Journal | 2012 | 17 pp.
Low coverage of intermittent preventive treatment for malaria in pregnancy in Nigeria: demand-side influences
Onoka C., Hanson K., Onwujekwe O.
Nigeria instituted intermittent preventive treatment for malaria (IPTp) using sulphadoxinepyrimethamine (SP) for pregnant women in 2001, but coverage remains low. This study examined the influence of demand side factors on IPTp coverage.
Malaria Journal | 2012 | 15 pp.
An analysis of timing and frequency of malaria infection during pregnancy in relation to the risk of low birth weight, anemia and perinatal mortality in Burkina Faso
Valea I., Tinto H., Drabo M. et al.
A prospective study aiming at assessing the effect of adding a third dose sulphadoxine-pyrimethamine (SP) to the standard two-dose intermittent preventive treatment for pregnant women was carried out in Hounde, Burkina Faso. Malaria infection during first trimester of pregnancy is associated to a higher risk of low birth weight. Women should be encouraged to use long-lasting insecticidal nets before and throughout their pregnancy.
Malaria Journal | 2012 | 12 pp.
Supply-related drivers of staff motivation for providing intermittent preventive treatment of malaria during pregnancy in Tanzania: evidence from two rural districts
Mubyazi, G., Bloch, P., Byskov, J. et al.
This paper describes the supply-related drivers of motivation and performance of HWs in administering IPTp doses among other ANC services delivered in public and private health facilities (HFs) in Tanzania, using a case study of Mkuranga and Mufindi districts.
Malaria Journal | 2012 | 23 pp.

2011

World Malaria Report 2011
The World Malaria Report 2011 summarizes information received from 106 malaria-endemic countries and a range of other sources. It analyses prevention and control measures according to a comprehensive set of indicators, and highlights continued progress towards global malaria targets.
World Health Organization | 2011 | 259 pp.
Systematic review and meta-analysis: rapid diagnostic tests versus placental histology, microscopy and PCR for malaria in pregnant women
Kattenberg J., Ochodo E., Boer K., Schallig H. et al.
The findings suggest that rapid diagnostic tests (RDTs) and molecular techniques (PCR) may have good performance characteristics to serve as alternatives for the diagnosis of malaria in pregnancy, besides any other limitations and practical considerations concerning the use of these tests. Nevertheless, more studies with placental histology as reference test are urgently required to reliably determine the accuracy of RDTs and PCR for the diagnosis of placental malaria. P. vivax infections have been neglected in diagnostic test accuracy studies of malaria in pregnancy.
Malaria Journal | 2011
Intermittent preventive treatment regimens for malaria in HIV-positive pregnant women (Review)
Mathanga D., Uthman O., Chinkhumba J.
Intermittent preventive treatment is recommended for pregnant women living in malaria endemic countries due to benefits for both mother and baby. However, the impact may not be the same in HIV-positive pregnant women, as HIV infection impairs a woman’s immunity. The objectives is to compare intermittent preventive treatment regimens for malaria in HIV-positive pregnant women living in malaria-endemic areas.
Cochrane Database of Systematic Reviews | 2011
Community case management of malaria using ACT and RDT in two districts in Zambia: achieving high adherence to test results using community health workers
Chanda P., Hamainza B., Moonga H. et al.
Community Health Workers are effective delivery points for prompt and effective malaria case management at community level. Adherence to test results is the best ever reported in Zambia. Further areas of implementation research are discussed.
Malaria Journal | 2011
Patterns of anti-malarial drug treatment among pregnant women in Uganda
Sangare L., Weiss N., Brentlinger P. et al.
The study objective was to determine the degree to which presumed episodes of uncomplicated symptomatic malaria in pregnancy were treated with a recommended anti-malarial regimen in a region of Uganda. Self-reported malaria was extremely common in this population (women living in Jinja, Uganda who had been pregnant in the past year). Adherence to treatment guidelines for the management of malaria in pregnancy was poor.
Malaria Journal | 2011
The President’s Malaria Initiative. Fifth annual Report to congress
This report describes the role and contributions of the US Government to reduce the burden of malaria in Africa and its impact on health systems.
Chapter Three focuses on malaria in pregnancy.
USAID | April 2011
Claims about the misuse of insecticide-treated mosquito nets: Are these evidence-based?
Eisele T., Thwing J., Keating J.
While it is clear there is room for improving the level of ITN use among those who have them, and that misuse of nets occasionally occurs, the authors of the article found very little evidence to support claims of widespread misuse.
PLoS Medicine | 2011
Reported reasons for not using a mosquito net when one is available: a review of the published literature
Pulford J., Hetzel M., Bryant M. et al.
Discomfort, primarily due to heat, and perceived (low) mosquito density were the most widely identified reason for non-use. Social factors, such as sleeping elsewhere, or not sleeping at all, were also reported across studies as were technical factors related to mosquito net use (i.e. not being able to hang a mosquito net or finding it inconvenient to hang) and the temporary unavailability of a normally available mosquito net (primarily due to someone else using it). However, confidence in the reported findings was substantially undermined by a range of methodological limitations and a dearth of dedicated research investigation.
Malaria Journal | 2011
Malaria associated symptoms in pregnant women followed-up in Benin
Huynh B., Fievet N., Gbaguidi G. et al.
This study found that pregnant women infected with Plasmodium only had symptoms related to malaria when infection was detected at unscheduled visits, generally at distance from the last dose of intermittent preventive treatment during pregnancy (IPTp). A third dose of IPTp administered at the end of pregnancy might avoid such late infections.
Malaria Journal | 2011
Successes and challenges for Malaria in Pregnancy Programming: A three-country analysis
This brief provides ministries of health, donors, and malaria and reproductive health implementing partners with a synthesis of lessons learned in malaria in pregnancy programming in three relatively high-performing countries—Malawi, Senegal, and Zambia—highlighting best practices and successful strategies that can be applied to other malaria-endemic countries throughout Africa.
USAID | 2011
Natural products as starting points for future anti-malarial therapies: going back to our roots?
Wells T.
The relative paucity of new herbal medicinal product scaffolds active against malaria results discovered in recent years suggest it is time to re-evaluate the ‘smash and grab’ approach of randomly testing purified natural products and replace it with a patient-data led approach. This will require a change of perspective form many in the field.
Malaria Journal | 2011
Guidelines for the treatment of malaria. Second edition
The WHO Guidelines for the treatment of malaria, which were first published in 2006, provide global, evidence-based recommendations on the case management of malaria, targeted mainly at policy-makers at country level, providing a framework for the development of specific and more detailed national treatment protocols that take into account local antimalarial drug resistance patterns and health service capacity in the country. This second edition of the guidelines revisits the recommendations based on updated evidence. You will also find information on malaria in pregnancy in these guidelines.
WHO | 2010
Reduced risk for placental malaria in iron deficient women
Senga E., Harper G., Koshy G. et al.
Women with either acute, or acute and chronic placental malaria were less likely to have iron deficiency than women without placental malaria infection There is a priority to establish if reversing iron deficiency through iron supplementation programs either prior to or during pregnancy enhances malaria risk.
Malaria Journal | 2011
Parasitological efficacy of antimalarials in the treatment and prevention of falciparum malaria in pregnancy 1998 to 2009: A systematic review
McGready R., White N., Nosten F.
The objective was to review the therapeutic efficacy of antimalarials used for treatment and intermittent preventive treatment (IPT) in pregnancy. The author’s conclusions: Drugs used in pregnancy should aim for 95% efficacy but many currently deployed regimens are associated with much lower cure rates.
BJOG | 2011
Malaria control in pregnancy: still a long way to go (Comment)
Gutman J., Slutsker L.
In the Lancet Infectious Diseases, Anna Maria van Eijk and colleagues report the progress of coverage with malaria control interventions in pregnant women in sub-Saharan Africa. Van Eijk and colleagues’ analysis is a reminder that cost-effective techniques to scale up malaria control interventions are needed. High rates of attendance at antenatal clinic can provide an effective platform to deliver these services; success will require strengthened systems through training of health workers, education of clients, and robust supply chains to ensure goals are achieved.
The Lancet Infectious Diseases | 2011
Coverage of malaria protection in pregnant women in sub-Saharan Africa: a synthesis and analysis of national survey data
Eijk van A., Hill J., Alegana V. et al.
Despite success in a few countries, coverage of insecticide-treated nets and intermittent preventive treatment in pregnant African women is inadequate; increased efforts towards scale-up are needed.
The Lancet | 2011
Intermittent preventive treatment of malaria with sulphadoxine-pyrimethamine during pregnancy in Burkina Faso: effect of adding a third dose to the standard two-dose regimen on low birth weight, anaemia and pregnancy outcomes
Valea, I.; Tinto, H.; Drabo, M. et al. Intermittent preventive treatment with sulphadoxine-pyrimethamine (IPTp-SP) is being implemented in most malaria endemic countries as a standard two-doses regimen as it reduces the risk of low birth weight (LBW) and the prevalence of maternal anaemia. Nevertheless, where the risk of infection close to delivery is high because of intense transmission, a third IPTp-SP dose may further reduce the negative effects of malaria on pregnancy outcome. The risk of LBW and severe anaemia tended to be lower in the SP3 group, though this was not statistically significant, probably due to the low uptake of the intervention which reduced the power of the study. Further studies are needed for establishing whether a third SP dose has a real benefit in preventing the negative effects of malaria in pregnancy in settings where transmission is markedly seasonal.
Malaria Journal | 2010
Anti-bacterial activity of intermittent preventive treatment of malaria in pregnancy: comparative in vitro study of sulphadoxine-pyrimethamine, mefloquine, and azithromycin
Capan M., Mombo-Ngoma G., Makristahtis A. et al.
In this study, the intrinsic anti-bacterial activity of mefloquine and azithromycin was assessed in comparison to sulphadoxine-pyrimethamine against bacterial pathogens with clinical importance in pregnancy in a standard microdilution assay.
Malaria Journal | 2010
Saving lives with malaria control: Counting down to the Millennium Development Goals
This report aims to introduce to the Roll Back Malaria (RBM) community the Lives Saved Tool, or LiST model, and its appropriate use and value in estimating lives saved through malaria prevention both retrospectively and prospectively.
World Health Organization | 2010
Comparison of real-time PCR and microscopy for malaria parasite detection in Malawian pregnant women
Rantala A., Taylor S., Trottman P. et al.
Although microscopy remains the most appropriate method for clinical malaria diagnosis in field settings, molecular diagnostics such as real-time PCR offer a more reliable means to detect malaria parasites, particularly at low levels. Determination of the possible contribution of these submicroscopic infections to poor birth outcomes and maternal health is critical.
Malaria Journal | 2010
Possession and usage of insecticidal bed nets among the people of Uganda: Is BRAC Uganda Health Programme pursuing a pro-poor path?
Masud A., Zerihun A.
The BRAC Uganda’s bed nets distribution at a subsidized price appeared to be inadequate and inequitable, and BRAC’s knowledge dissemination is insufficient for initiating preventive actions such as proper use of insecticidal bed nets to interrupt malaria transmission. Findings contribute to the on-going debate on bed nets distribution in Africa and make a strong case for its free distribution.
PLoS One | 2010
Decreasing burden of malaria in pregnancy in Malawian women and its relationship to use of intermittent preventive therapy or bed nets
Feng G., Simpson J., Chaluluka E. et al.
Increased bednet coverage explains changes in parasitemia and birth weight among pregnant women better than sulfadoxine-pyrimethamine use. High bed net coverage, and sulfadoxine-pyrimethamine resistance, may be contributing to its apparent loss of effectiveness.
PLoS One | 2010
Perceptions on the use of insecticide treated nets in parts of the Imo River Basin, Nigeria: Implications for preventing malaria in pregnancy
Chukwuocha U.M., Dozie I., Onwuliri C. et al.
This study aimed at assessing perceptions on use of ITNs in parts of the Imo River Basin, Nigeria and its implications in preventing malaria in pregnancy. Data was collected using focus group discussions, key informant interviews and structured questionnaires. Results showed high awareness on the benefits of ITNs. Factors affecting use of ITNs included its high cost, perceptions of chemicals used to treat them as having dangerous effects on pregnancy, low utilization of antenatal care, husband’s lack of interest in malaria prevention and perceptions that adolescent girls are at low risk of getting malaria.
African Journal of Reproductive Health | 2010
Bottlenecks for high coverage of intermittent preventive treatment in pregnancy: The case of adolescent pregnancies in rural Burkina Faso
Peeters Grietens K., Gies S., Coulibaly S.O. et al.
This study shows that adolescents need to be targeted specifically, prior to their first pregnancy and with measures adapted to their social context, addressing their structural constraints and needs and going beyond standard health promotion campaigns.
PLoS One | 2010
Effects of Malaria in pregnancy on newborn anthropometry
Falade C., Tongo O., Ogunkunle O. et al.
During a cross-sectional study of 983 mothers delivering in a secondary health care facility in Ibadan, southwestern Nigeria, an area of high malaria transmission, the effect of maternal and placental malaria parasitaemia on newborn anthropometry was evaluated. Malaria in pregnancy results in symmetric foetal growth restriction and the effect is more marked among primigravid mothers.
The Journal of Infection in Developing Countries | 2010
Availability and utilization of malaria prevention strategies in pregnancy in eastern India
Wylie B., Hashmi A., Singh N. et al.
A disconnect remains between routine antenatal practices in India and known strategies to prevent and treat malaria in pregnancy. Prevention strategies, in particular the use of insecticide-treated bednets, are underutilized. Gaps highlighted by this study combined with recent estimates of the prevalence of malaria during pregnancy in these areas should be used to revise governmental policy and target increased educational efforts among health care workers and pregnant women.
BMC Public Health | 2010
The potential role of the educational system in addressing the effect of inadequate knowledge of mosquitoes on use of insecticide-treated nets in Ghana
Kudom A., Mensah B.
This study was undertaken to get a better understanding of perceptions of malaria, knowledge on mosquitoes among secondary and tertiary students in Cape Coast, Ghana.
Malaria Journal | 2010
Safety of artemether-lumefantrine in pregnant women with malaria: results of a prospective cohort study in Zambia
Manyando C., Mkandawire R., Puma L. et al.
Safety data regarding exposure to artemisinin-based combination therapy in pregnancy are limited. This prospective cohort study conducted in Zambia evaluated the safety of artemether-lumefantrine in pregnant women with malaria.
Malaria Journal | 2010
Which family members use the best nets? An analysis of the condition of mosquito nets and their distribution within households in Tanzania
Tsuang A., Lines J., Hanson K.
Two main findings emerge from the analysis of the survey data. First, small decreases in the household person-to-net ratio resulted in proportionately large increases in within-household net coverage levels. Second, infants were more likely to use intact ITNs than any other household member. More generally, this study suggests that the more vulnerable-to-malaria members of the family are given priority for use of the most protective nets in the household.
Malaria Journal | 2010
Sleeping arrangement and house structure affect bed net use in villages along Lake Victoria
Iwashita H., Dida H. et al.
The objectives of this study were to explore whether an individual’s sleeping arrangements and house structure affect bed net use in villages along Lake Victoria in western Kenya.
Malaria Journal | 2010
Effect of training on the use of long-lasting insecticide-treated bed nets on the burden of malaria among vulnerable groups, south-west Ethiopia: baseline results of a cluster randomized trial
Deribew A. et al.
The availability and utilization of treated bednets was low in the study area. The prevalence of malaria and anaemia was high. Intervention strategies of malaria should focus on high risk population and vulnerable groups.
Malaria Journal | 2010
Intermittent screening and treatment versus intermittent preventive treatment of malaria in pregnancy: user acceptability
Smith L., Jones C. et al.
The conclusion of this study is that intermittent screening and treatment and intermittent preventive treatment are equally acceptable to pregnant women. The women were more concerned about quality of services received, in particular the polite and patient attitude of health staff, and positive health implications for themselves and their babies than about the nature of the intervention.
Malaria Journal | 2010

Women’s experiences and views about costs of seeking malaria chemoprevention and other antenatal services: a qualitative study from two districts in rural Tanzania
Mubyazi G. et al.
Strengthening of user-fee exemption practices and bringing services closer to the users, are urgently needed measures for increasing equity in health services in Tanzania.
Malaria Journal | 2010
Placental malaria, anaemia and low birthweight in Yemen
Albiti A., Adam I.et al.
Conclusion of this study is that preventive measures (bednets and intermittent preventive treatment) should be employed for pregnant women regardless of their age or parity.
Transactions of the Royal Society of Tropical Medicine and Hygiene | 2010
World Malaria Report 2009
This report demonstrates that funding has resulted in steady increases in the coverage with malaria control interventions, especially insecticide-treated mosquito nets. It also shows that where these interventions have been fully scaled up, the malaria burden falls dramatically.
World Health Organization | 2009
Quantifying the number of pregnancies at risk of malaria in 2007: A demographic study
Dellicour S., Tatem A. et al.
Comprehensive and contemporary estimates of the number of pregnancies at risk of malaria are not currently available, particularly for endemic areas outside of Africa. We derived global estimates of the number of women who became pregnant in 2007 in areas with Plasmodium falciparum and P. vivax transmission.
PLoS Medicine | 2010
Quinine for the treatment of malaria in pregnancy
Matthew C., Chandramohan D.
The authors of this reaction in the Lancet call for the discontinuation of quinine monotherapy in sub-Saharan Africa. However, combination therapies using quinine for the treatment of uncomplicated malaria in pregnancy were discounted. They agree that artemether with lumefantrine, azithromycin, artesunate with mefloquine, or dihydroartemisinin with piperaquine should be investigated for their potential use in the treatment of pregnant women with uncomplicated malaria.
The Lancet Infectious Diseases | 2010