who _ intermittent preventive treatment in pregnancy (iptp)
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2/28/2016 WHO | Intermittent preventive treatment in pregnancy (IPTp)
http://www.who.int/malaria/areas/preventive_therapies/pregnancy/en/ 1/2
MalariaIntermittent preventive treatment inpregnancy (IPTp)Malaria infection during pregnancy is a major public health problem, withsubstantial risks for the mother, her fetus and the neonate. Intermittentpreventive treatment of malaria in pregnancy is a full therapeutic courseof antimalarial medicine given to pregnant women at routine prenatalvisits, regardless of whether the recipient is infected with malaria. IPTpreduces maternal malaria episodes, maternal and fetal anaemia,placental parasitaemia, low birth weight, and neonatal mortality.
Read more on malaria in pregnant women
WHO recommendations
WHO recommends IPTp with sulfadoxinepyrimethamine (IPTpSP) inall areas with moderate to high malaria transmission in Africa. As ofOctober 2012, WHO recommends that this preventive treatment begiven to all pregnant women at each scheduled antenatal care visitexcept during the first trimester. WHO recommends a schedule of fourantenatal care visits.
Based on currently available evidence, the preventive efficacy of SP forIPTp persists even in areas where quintuple mutations linked to SPresistance are prevalent in P. falciparum.
Low uptake of IPTp in some African countries
Among the approximately 840 million persons at risk of malaria inendemic countries in subSaharan Africa, an estimated 35 millionpregnant women could benefit from IPTp each year. However, during thelast few years, WHO has observed a declining effort to scaleup IPTp ina number of African countries. In highburden countries, IPTp noticeablylags behind other malaria control measures.
This does not appear to be due to low levels of antenatal clinicattendance. Uncertainty among health workers about SP administrationfor IPTp may have also played a role. Simplified IPTp messages andhealth worker training have been shown to improve IPTp coverage.
Last update: 20 February 2015
Key documents
WHO policy brief for the implementation of intermittent preventive
2/28/2016 WHO | Intermittent preventive treatment in pregnancy (IPTp)
http://www.who.int/malaria/areas/preventive_therapies/pregnancy/en/ 2/2
treatment of malaria in pregnancy using sulfadoxinepyrimethamine(IPTpSP)
Updated WHO policy recommendation on intermittent preventivetreatment of malaria in pregnancy using sulfadoxinepyrimethamine(IPTpSP)
Complete list of related documents
Related links
Malaria in pregnant women
Intermittent preventive treatmentin infants (IPTi)
Seasonal malariachemoprevention (SMC)
Read more on preventivetherapies
WHO Evidence Review Group: intermittent preventive treatment ofmalaria in pregnancy (IPTp) with sulfadoxinepyrimethamine (SP) pdf, 342kb
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