Malaria during pregnancy and newborns outcome in an unstable transmission area in Brazil: a population-based record linkage study

Dombrowski, Jamille Gregório; Souza, Rodrigo Medeiros de; Silva, Natércia Regina Mendes; Barateiro, André; Epiphânio, Sabrina; Gonçalves, Lígia Antunes; Marinho, Cláudio Romero Farias

doi:10.1101/244178

Cited by 3 publications

(2 citation statements)

References 32 publications

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“…10 Malaria infection during pregnancy causes an estimated 900,000 low birth weight deliveries worldwide and may contribute to 100,000 infant deaths annually. 11 In low-risk zones, episodes of severe malaria are significantly associated with stillbirths, spontaneous abortion, premature delivery, and maternal death. Although pregnant women in malaria-endemic areas have a higher rate of parasitemia compared to non-pregnant women, in some cases, infection is largely asymptomatic because some degree of pre-existing immunity is retained during pregnancy.…”

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confidence: 99%

Knowledge and Utilization of Intermittent Preventive Treatment of Malaria among Pregnant Women in Muramvya Health District, Burundi, 2018

Nkunzimana

Sufiyan

2020

EAHRJ

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Background: Intermittent Preventive Treatment in pregnancy (IPTp) of malaria is a key component of malaria control strategy in Burundi. Sulfadoxine-pyrimethamine (SP) is the drug of choice. Despite the evidence of the effectiveness of IPTp strategy using SP in reducing the adverse effects of malaria during pregnancy, the uptake and coverage in Burundi is low. This study was carried out to assess the knowledge and utilisation of IPTp among pregnant women of Muramvya Health District and determine factors that influence the uptake. Methods: This was a community based cross sectional study conducted from 16 th to 28 th September 2018. A total of 370 pregnant women were recruited from selected settlements of MURAMVYA Health District. A structured questionnaire was administered to elicit information on socio-demographic characteristics, knowledge, and utilisation of IPTp. Epi-Info 7.2.2.6 and Microsoft Excel 2016 software was used to perform univariate, bivariate and multivariate analyses. Results: Among the 370 pregnant women, 310 (83.8%) had taken IPTp-SP at least once in the index pregnancy. However, only 76 (24.5%) had completed the minimum required three doses. Having formal education (aOR=2.5, 95% CI [1.2-5.2], P= .016), parity (aOR=2.1, 95% CI [1.1-4.2], P = .033), and living at less than 5 km from the health facility (aOR=4.1, 95% CI [1.7-9.6], P =0.001) were found to be independent determinants of utilisation (at least one) of IPTp-SP. Also, having formal education (aOR=5.0, 95% CI [2.1-24.3], P<.001), and gestational age at first ANC visit (aOR=3.3, 95% CI [1.4-7.7], P=.005) were found to be independent determinants of taking optimal dose (three+) of IPTp-SP in Muramvya Health District. Conclusion:The findings of this study show the low rate of pregnant women receiving the optimal dose of IPTp-SP. The study established that the major factors for IPTp-SP utilisation are; educational level, distance from home to the health facility, parity and the gestational age at the first ANC visit. It is therefore recommended that healthcare providers in Muramvya district should intensify sensitization and awareness campaign on the importance of girl child education and early ANC attendance in order to increase uptake and utilization of IPTp-SP for improved health outcomes.

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confidence: 99%

Knowledge and Utilization of Intermittent Preventive Treatment of Malaria among Pregnant Women in Muramvya Health District, Burundi, 2018

Nkunzimana

Sufiyan

2020

EAHRJ

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“…Interessantemente, apesar de existir uma alta proporção de casos de malária grave por P. falciparum, estudos recentes também tem associado a infeção pelo P. vivax a graves complicações, tais como: anemia grave, hiperbilirubinemia, disfunções renais, síndromes respiratórias e convulsões (40,41). Recentemente, estudos conduzidos na América Latina com gestantes infectadas por P. vivax, reportaram não só alguns desfechos adversos, assim como risco de anemia materna, malária placentária e, consequentemente, prematuridade e BPN (42)(43)(44)(45).…”

Section: Patogênese Da Maláriaunclassified

Associação dos níveis séricos de sFLT-1, proteína c reativa (PCR) e leptina e a histopatologia da malária placentária por >i<Plasmodium vivax>/i<.

Silva¹

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Que prazer é o meu ter tantas pessoas para agradecer. Gratidão a vida por tudo isso! Gostaria de agradecer ao meu orientador, Prof. Dr. Cláudio Marinho, pela grande oportunidade de desenvolver este trabalho. Agora a mais de 3.000 km de distância tudo faz sentido! Obrigada por ter partilhado seu conhecimento científico, profissionalismo, dedicação, disponibilidade e, exigir sempre de nós extrema dedicação em tudo que fazemos, isso me tornou outra pessoa e profissional! À minha mãe, Creyklene Mendes, que mesmo longe sempre esteve perto e, segurando a barra comigo nesses dois anos, não deixando eu desistir e me incentivando a seguir em frente, sendo meu suporte de uma vida inteira.À minha tia Célia, sempre tão amável e compreensiva comigo, apoiadora de todos os meus sonhos. Sou uma privilegiada por todas as oportunidades que me concedeu nesta vida. Todo meu sucesso é seu! À minha irmã, Isadora, e meu primo, Ronaldo, que sempre torceram para o meu sucesso.Ao meu meu grande amigo, Fabríco Stocker, que se tornou minha família neste período que estive em São Paulo e que levo para minha vida inteira.A minha co-orientadora e amiga, Dra. Jamille Dombrowski, a quem tenho um profundo carinho. Obrigada pela ajuda, colaboração, paciência, ensinamentos e exemplo, são poucas as pessoas que conheci como você tão apaixonada pelo que faz! Na trajetória da vida tive sorte de ter te conhecido. Ao Dr. Oscar Murillo, por ter partilhdo seus conhecimentos comigo e pela paciência por me ensinar. Obrigada por me fazer raciocinar desde como se desenha um experimento a sua execução. Nunca pensei que uma Enfermeira amaria trabalhar em bancada. Lembro-me de ocasiões que você, mesmo ocupado fora do Brasil, sempre esteve disponível para me ajudar! A técnica do laboratório e agora minha amiga, Erika Machado, obrigada por ser tão profissional e gentil conosco, o que seria dos alunos sem você! Você sem dúvida também foi priomordial durante todo esse processo! Até as broncas e puxões de orelha foram importantes.Aos meus amigos de laboratório, Erika Machado,

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Multilevel Modelling of Individual, Community and Regional Level Factors Associated with Insecticide-Treated Net Usage among Pregnant Women in Ethiopia

et al. 2022

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Background: Pregnant women who are infected with malaria usually have more severe symptoms and negative health outcomes than women who are not pregnant, with higher rates of miscarriage, intrauterine demise, premature delivery, low-birth-weight neonates, and neonatal death. Based on evidence from the 2016 Ethiopia Demographic and Health Survey, this study assessed the variation in insecticide-treated nets (ITNs) usage and its associated factors among pregnant women in Ethiopia. Methods: Data from a total of 1122 women who were pregnant at the time of the survey were included in the final analysis. Bivariate and multilevel analyses were conducted. Multilevel modeling with fixed and random coefficients was used to estimate the variation in pregnant women’s ITNs usage across communities (residence areas) and regions of Ethiopia. Results: Out of the total 1122 pregnant women, 58.37% slept under a net and 41.63% did not sleep under nets. Significant variations were observed in pregnant women’s ITNs usage across communities (residence areas) and regions of Ethiopia, with between variations in pregnant women’s ITNs usage across communities (residence areas) and regions. In addition, the region, place of residence, wealth index, educational level, and age of the women as well as whether they believed that mosquito bites cause malaria were significant factors in pregnant women’s usage of ITNs. Pregnant women in Ethiopia had moderate usage of ITNs with varied risk factors at the individual, community, and regional levels. Conclusion: Based on the factors identified, there is a need to implement and/or strengthen programs (e.g., regular sensitization) that intensify high coverage of ITNs for effective malaria prevention in Ethiopia, especially among pregnant women who do not use ITNs.

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Malaria during pregnancy and newborns outcome in an unstable transmission area in Brazil: a population-based record linkage study

Abstract: 26Background: Malaria during pregnancy is one of the major causes of mortality in tropical regions, 27

Cited by 3 publications

References 32 publications

Knowledge and Utilization of Intermittent Preventive Treatment of Malaria among Pregnant Women in Muramvya Health District, Burundi, 2018

Knowledge and Utilization of Intermittent Preventive Treatment of Malaria among Pregnant Women in Muramvya Health District, Burundi, 2018

Associação dos níveis séricos de sFLT-1, proteína c reativa (PCR) e leptina e a histopatologia da malária placentária por >i<Plasmodium vivax>/i<.

Multilevel Modelling of Individual, Community and Regional Level Factors Associated with Insecticide-Treated Net Usage among Pregnant Women in Ethiopia

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