Malaria in Pregnant Women

Sharifi-Mood, Batool

doi:10.17795/iji22992

Cited by 13 publications

(11 citation statements)

References 7 publications

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“…Space constraints in the tent meant that bed nets required daily installation at dusk and dismantling at dawn. The bed nets were easily soiled in the muddy environment, required frequent washing, tore easily and developed holes, resulting in short life spans: ‘We must clean the nets at least once a week [which] damages it, we also don’t have permanent water sources in the camp, and soap is an issue’ (IDP); ‘With the candle that lights our night, my bed net now has many burn holes because the tent is [ 24 ] small to separate the net from the candle’ (IDP) . IDPs usually slept on mats on the mud floor, such that bed nets could not be tucked under a mattress to provide a physical barrier against mosquitoes: ‘It’s difficult to use the nets well […] We have no beds or mattresses to tuck the nets under , we have no bedrooms’ (IDP) .…”

Section: Resultsmentioning

confidence: 99%

Use and disuse of malaria bed nets in an internally displaced persons camp in the Democratic Republic of the Congo: A mixed-methods study

et al. 2017

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IntroductionMalaria is a major cause of morbidity and mortality among displaced populations in tropical zones. Bed nets are widely used to prevent malaria; however, few data are available on bed net distribution within displaced populations.MethodsMixed methods study in a single internally displaced persons (IDP) camp and neighboring community in Eastern Democratic Republic of the Congo (DRC). Qualitative data (focus group discussions, FGDs) and quantitative data (door-to-door survey and individual testing using malaria rapid diagnostic test, RDT) were collected.ResultsTen FGDs were conducted with 55 individuals. Although malaria was widely recognized as a significant threat and bed nets were freely distributed in the camp, many households did not own or use them. IDPs converged on the following reasons for low bed net ownership and use: inconvenience of net installation and sale of nets to meet immediate needs such as food. One hundred households, comprised of 411 individuals, were surveyed in Birambizo. The burden of malaria was high (45/78 (58%) of children <5 were positive for malaria by RDT) and bed net utilization was low (29/100 (29%) households owned a bed net, and 85/411 (20%) individuals slept under a bed net the previous night). Children <5 were more likely to use a bed net than older children or adults (OR 3.4 (95%CI 2.0–5.8), p<0.0001). Compared to 29 bed nets currently in use by study participants, 146 bed nets had been sold (82%) or exchanged (18%) either in the camp (27%) or in the neighbouring village market (73%).ConclusionsQualitative descriptions and quantitative analysis revealed pragmatic barriers to bed net usage and widespread sale of freely distributed bed nets within IDP camps, despite a high burden of malaria. Additional strategies, beyond bed net distribution, are warranted to combat malaria in vulnerable and hard-to-reach population.

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Section: Resultsmentioning

confidence: 99%

Use and disuse of malaria bed nets in an internally displaced persons camp in the Democratic Republic of the Congo: A mixed-methods study

et al. 2017

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“…The prevalence of malaria among pregnant women in sub-Saharan Africa was 29.5% in East and Southern Africa and 35% in West and Central Africa [5]. In Gambia was 56.1% [3].…”

Section: Introductionmentioning

confidence: 97%

“…About 125 million women are at risk of acquiring malaria infections during pregnancy, mainly in Africa where Plasmodium falciparum is the dominant malaria parasite in most parts of sub-Saharan Africa and hence responsible for most infections in pregnancy [1][2][3]. Plasmodium vivax is also a significant cause of maternal morbidity during pregnancy and of low birth weight in parts of Asia [2] and Latin America [4].Malaria in pregnancy can lead to miscarriage, premature delivery, low birth weight, congenital infection, and fetal as well as perinatal death [5].Malaria infection during pregnancy poses substantial risk to the mother, the foetus and the neonate; higher parasitaemia particularly in 2nd and 3rd trimesters, anaemia and altered placental integrity result in less nutritional support leading to low birth weight (LBW), abortion, still birth, premature birth and high infant morbidity/mortality [6]. In endemic areas, malaria in pregnancy is often asymptomatic, especially in cases of primigravidae; additionally the parasite may be undetectable in peripheral blood smears, causing the delay in disease treatment [7].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Possible Risk Factors of Malaria among Pregnant Women Attending To Antenatal Care at Umtalha Health Centre in Gezira State -Sudan

Abdalla¹,

Abdalla²

2017

IOSRJPBS

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“…Since ITNs are considered the most important malaria preventive measure, especially in high-risk malaria-endemic areas, this is the primary intervention carried out by the NMCP in the DRC [ 2 ]. Malaria is a global public health issue, especially for pregnant women, as it may be dangerous to both the mother and fetus [ 7 – 9 ]. Therefore, utilization of ITNs can reduce the complications related to malaria during pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Analysis of Insecticide-Treated Net Use by Pregnant Women: Implications for Donor Organizations

et al. 2016

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BackgroundThe World Health Organization (WHO) recommends the use of insecticide-treated nets (ITNs) for the prevention of malaria and reduction of mortality and morbidity from mosquito-borne diseases. Although many countries, including the Democratic Republic of Congo, have adopted this recommendation and distributed bed nets to their inhabitants, the percentage of the population using ITNs remains low.MethodsThis study was conducted with 400 mothers with at least one child under 5 years of age in health zones in the Bandundu province. Face-to-face interviews were conducted using structured pre-coded questionnaires. Chi-square tests and logistic regressions were calculated using the SPSS Version 21.0 software.ResultsAmong the studied variables, education status (p = 0.013), marital status (p = 0.004), ANC utilization (p = 0.13), suffering from malaria during pregnancy (p = 0.019), and knowledge of the seriousness of malaria (p = 0.013) were significant determinants of the use of ITNs in logistic regression analyses.ConclusionThe results of this study indicate that the regular use of ITNs by women during pregnancy is associated with marital status, attending ANC services, and awareness of the serious nature of malaria. Therefore, education about the risk factors among populations is needed.

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Malaria in Pregnant Women

Cited by 13 publications

References 7 publications

Use and disuse of malaria bed nets in an internally displaced persons camp in the Democratic Republic of the Congo: A mixed-methods study

Use and disuse of malaria bed nets in an internally displaced persons camp in the Democratic Republic of the Congo: A mixed-methods study

Prevalence and Possible Risk Factors of Malaria among Pregnant Women Attending To Antenatal Care at Umtalha Health Centre in Gezira State -Sudan

Analysis of Insecticide-Treated Net Use by Pregnant Women: Implications for Donor Organizations

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