Download - The Impact of Malaria on Pregnant Women
Eric Adjei, MPH StudentWalden University
November, 2010
Agenda
Overview of malaria
Malaria during pregnancy
Prevention and Control
Summary
Expected Learning Outcomes
Appreciate the danger of malaria in pregnancy
Protect yourself and the unborn child
Access antenatal care
Overview of Malaria
Definition
Causative organism Plasmodium parasites
World Health Organization (2010). Current Global Malaria Situation. Retrieved from http://whqlibdoc.who.int/trs/WHO_TRS_892.pdf
Cont.
Mode of transmission
Female Anopheles mosquitoes
Influential factors
World Health Organization (2010). Current Global Malaria Situation. Retrieved from http://whqlibdoc.who.int/trs/WHO_TRS_892.pdf
Cont.
Significance
Most Vulnerable segment of the population Pregnant women
Children
World Health Organization (2010). Current Global Malaria Situation. Retrieved from http://whqlibdoc.who.int/trs/WHO_TRS_892.pdf
Malaria During Pregnancy
Lives at risk Pregnant women
Most common causative parasite P. falciparum
Gajida, A. U., Iliyasu, Z., Zoakah, A. I. ( 2010). Malaria among antenatal clients attending primary health care facilities in Kano state, Nigeria. Annals of African Medicine, 9(3),188-193. DOI: 10.4103/1596-3519.68352
Newman, R.D., Robalo, M., Quakyi, I. ( 2004). Malaria during pregnancy: epidemiology, current prevention strategies, and future directions. Emerg Infect
Dis [serial on the Internet]. Available from http://www.cdc.gov/ncidod/EID/vol10no11/04-0624_09.htm
Cont. Effects on Maternal health
Anaemia Still birth Premature delivery Neonatal death Placental malaria
Newman, R.D., Robalo, M., Quakyi, I. ( 2004). Malaria during pregnancy: epidemiology, current prevention strategies, and future directions. Emerg Infect Dis [serial on the Internet]. Available from http://www.cdc.gov/ncidod/EID/vol10no11/04-0624_09.htm
World Health Organization (2004). A strategic framework for malaria prevention and control during pregnancy in the African region. Retrieved from http://whqlibdoc.who.int/afro/2004/AFR_MAL_04.01.pdf
Cont.
Effects on infant health Intrauterine growth retardation Prematurity Abortion Congenital infection
Marchesini, P., Crawley, J. (2004). WHO: Reducing the burden of malaria in pregnancy. Retrieved from
http://www.who.int/malaria/publications/atoz/merajan2003.pdf World Health Organization (2004). A strategic framework for malaria prevention and control during pregnancy in the African region. Retrieved from
http://whqlibdoc.who.int/afro/2004/AFR_MAL_04.01.pdf
Prevention and Control of Malaria During Pregnancy
Different preventive measures
Marchesini, P., Crawley, J. (2004). WHO: Reducing the burden of malaria in pregnancy. Retrieved from http://www.who.int/malaria/publications/atoz/merajan2003.pdf
World Health Organization (2004). A strategic framework for malaria prevention and control during pregnancy in the African region. Retrieved from
http://whqlibdoc.who.int/afro/2004/AFR_MAL_04.01.pdf
Cont.
Areas of low or unstable transmission
Anti-malaria drug
Appropriate supportive treatment
Marchesini, P., Crawley, J. (2004). WHO: Reducing the burden of malaria in pregnancy. Retrieved from http://www.who.int/malaria/publications/atoz/merajan2003.pdf
Cont.
Areas of high or stable transmission
Intermittent preventive treatment
Sulfadoxine-pyrimethamine
Insecticide treated bed nets
Newman, R.D., Robalo, M., Quakyi, I. ( 2004). Malaria during pregnancy: epidemiology, current prevention strategies, and future directions. Emerg Infect Dis [serial on the Internet]. Available from http://www.cdc.gov/ncidod/EID/vol10no11/04-0624_09.htm
World Health Organization (2004). A strategic framework for malaria prevention and control during pregnancy in the African region. Retrieved from http://whqlibdoc.who.int/afro/2004/AFR_MAL_04.01.pdf
Cont. Effective case management of malaria illness and anaemia
Iron supplementation
Screening for anaemia
World Health Organization (2004). A strategic framework for malaria prevention and control during pregnancy in the African region. Retrieved from http://whqlibdoc.who.int/afro/2004/AFR_MAL_04.01.pdf
Conclusion
Malaria infection can be fatal
Malaria poses a threat to pregnant women
Malaria is preventable
Thank You
References World Health Organization (2010). Current Global Malaria Situation. Retrieved from
http://whqlibdoc.who.int/trs/WHO_TRS_892.pdf
Gajida, A. U., Iliyasu, Z., Zoakah, A. I. ( 2010). Malaria among antenatal clients attending primary health care facilities in Kano state, Nigeria. Annals of African Medicine, 9(3),188-193. DOI: 10.4103/1596-3519.68352
Newman, R.D., Robalo, M., Quakyi, I. ( 2004). Malaria during pregnancy:
epidemiology, current prevention strategies, and future directions. Emerg Infect Dis [serial on the Internet]. Available from http://www.cdc.gov/ncidod/EID/vol10no11/04-0624_09.htm
World Health Organization (2004). A strategic framework for malaria prevention and
control during pregnancy in the African region. Retrieved from http://whqlibdoc.who.int/afro/2004/AFR_MAL_04.01.pdf
Marchesini, P., Crawley, J. (2004). WHO: Reducing the burden of malaria in pregnancy. Retrieved from http://www.who.int/malaria/publications/atoz/merajan2003.pdf
Cont.World Health Organization (2010)
. Third meeting of the rbm partnership malaria in pregnancy. Retrieved from http://rbm.who.int/partnership/wg/wg_pregnancy/docs/MPWG_3MeetingMinutes.pdf
Sources for Further ReadingHelen, L. G.& Robert, W. S. ( 2004). Impact of Malaria during Pregnancy on
Low BirthWeight in Sub-Saharan Africa. Clinical Microbiology, 17(4), 760-769. DOI:10.1128/CMR.17.4.760-769.2004. Retrieved from http://cmr.asm.org/cgi/content/full/17/4/760?view=long&pmid=1548 9346
UNICEF (2009). Health- Malaria. Retrieved from http://www.unicef.org/health/index_malaria.html
USAID (2009). Infectious Disease: Malaria in Pregnancy. Retrieved from http://www.usaid.gov/our_work/global_health/id/malaria/techareas/pregnancy.html
Centres for Disease Control and Prevention ( 2010). Intermittent Preventive Treatment of Malaria for Pregnant Women (IPTp). Retrieved from http://www.cdc.gov/malaria/malaria_worldwide/reduction/iptp.html
