LSTM Home > LSTM Research > LSTM Online Archive

Coverage of malaria protection in pregnant women in sub-Saharan Africa: a synthesis and analysis of national survey data

van Eijk, Anna, Hill, Jenny ORCID: https://orcid.org/0000-0003-1588-485X, Alegana, Victor A, Kirui, Viola, Gething, Peter W, terKuile, Feiko ORCID: https://orcid.org/0000-0003-3663-5617 and Snow, Robert W (2011) 'Coverage of malaria protection in pregnant women in sub-Saharan Africa: a synthesis and analysis of national survey data'. Lancet Infectious Diseases, Vol 11, Issue 3, pp. 190-207.

Full text not available from this repository.

Abstract

Background
Insecticide-treated nets and intermittent preventive treatment with sulfadoxine–pyrimethamine are recommended for the control of malaria during pregnancy in endemic areas in Africa, but there has been no analysis of coverage data at a subnational level. We aimed to synthesise data from national surveys about these interventions, accounting for disparities in malaria risk within national borders.

Methods
We extracted data for specific strategies for malaria control in pregnant women from national malaria policies from endemic countries in Africa. We identified the most recent national household cluster-sample surveys recording intermittent preventive treatment with sulfadoxine–pyrimethamine and use of insecticide-treated nets. We reconciled data to subnational administrative units to construct a model to estimate the number of pregnant women covered by a recommended intervention in 2007.

Findings
45 (96%) of 47 countries surveyed had a policy for distribution of insecticide-treated nets for pregnant women; estimated coverage in 2007 was 4·7 million (17%) of 27·7 million pregnancies at risk of malaria in 32 countries with data. 39 (83%) of 47 countries surveyed had an intermittent preventive treatment policy; in 2007, an estimated 6·4 million (25%) of 25·6 million pregnant women received at least one dose of treatment and 19·8 million (77%) visited an antenatal clinic (31 countries). Estimated coverage was lowest in areas of high-intensity transmission of malaria.

Interpretation
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.

Item Type: Article
Subjects: QV Pharmacology > Anti-Inflammatory Agents. Anti-Infective Agents. Antineoplastic Agents > QV 254 Antiprotozoal agents (General)
QV Pharmacology > Anti-Inflammatory Agents. Anti-Infective Agents. Antineoplastic Agents > QV 256 Antimalarials
QX Parasitology > Insects. Other Parasites > QX 600 Insect control. Tick control
WA Public Health > Health Problems of Special Population Groups > WA 310 Maternal welfare
WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
WA Public Health > Statistics. Surveys > WA 900 Public health statistics
WC Communicable Diseases > Tropical and Parasitic Diseases > WC 750 Malaria
WC Communicable Diseases > Tropical and Parasitic Diseases > WC 765 Prevention and control
WQ Obstetrics > Pregnancy Complications > WQ 256 Infectious diseases
Digital Object Identifer (DOI): https://doi.org/10.1016/S1473-3099(10)70295-4
Depositing User: Martin Chapman
Date Deposited: 23 Apr 2014 11:35
Last Modified: 31 May 2018 13:49
URI: http://archive.lstmed.ac.uk/id/eprint/3675

Statistics

View details

Actions (login required)

Edit Item Edit Item