Monitoring and evaluation of malaria in pregnancy – developing a rational basis for control
Abstract Monitoring and evaluation of malaria control in pregnancy is essential for assessing the efficacy and effectiveness of health interventions aimed at reducing the major burden of this disease on women living in endemic areas. Yet there is no currently integrated strategic approach on how thi...
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ftdoajarticles:oai:doaj.org/article:4118b6c53f6345929e5a1b5558623700 2023-05-15T15:11:27+02:00 Monitoring and evaluation of malaria in pregnancy – developing a rational basis for control Dellicour Stephanie Uddenfeldt-Wort Ulrika Wasame Marian Brabin Bernard J Hill Jenny Gies Sabine 2008-12-01T00:00:00Z https://doi.org/10.1186/1475-2875-7-S1-S6 https://doaj.org/article/4118b6c53f6345929e5a1b5558623700 EN eng BMC http://www.malariajournal.com/content/7/S1/S6 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-7-S1-S6 1475-2875 https://doaj.org/article/4118b6c53f6345929e5a1b5558623700 Malaria Journal, Vol 7, Iss Suppl 1, p S6 (2008) Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2008 ftdoajarticles https://doi.org/10.1186/1475-2875-7-S1-S6 2022-12-31T08:46:02Z Abstract Monitoring and evaluation of malaria control in pregnancy is essential for assessing the efficacy and effectiveness of health interventions aimed at reducing the major burden of this disease on women living in endemic areas. Yet there is no currently integrated strategic approach on how this should be achieved. Malaria control in pregnancy is formulated in relation to epidemiological patterns of exposure. Current emphasis is on intermittent preventive treatment (IPTp) during pregnancy with sulphadoxine-pyrimethamine in higher transmission areas, combined with insecticide treated bed nets (ITNs) and case management. Emphasis in lower transmission areas is primarily on case management. This paper discusses a rational basis for monitoring and evaluation based on: assessments of therapeutic and prophylactic drug efficacy; proportional reductions in parasite prevalence; seasonal effects; rapid assessment methodologies; birthweight and/or anaemia nomograms; case-coverage methods; maternal mortality indices; operational and programmatic indicators; and safety and pharmacovigilance of antimalarials in pregnancy. These approaches should be incorporated more effectively within National Programmes in order to facilitate surveillance and improve identification of high-risk women. Systems for utilizing routinely collected data should be strengthened, with greater attention to safety and pharmacovigilance with the advent of artemisinin combination therapies, and prospects of inadvertent exposures to artemisinins in the first trimester. Integrating monitoring activities within malaria control, reproductive health and adolescent-friendly services will be critical for implementation. Large-scale operational research is required to further evaluate the validity of currently proposed indicators, and in order to clarify the breadth and scale of implementation to be deployed. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 7 S1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Dellicour Stephanie Uddenfeldt-Wort Ulrika Wasame Marian Brabin Bernard J Hill Jenny Gies Sabine Monitoring and evaluation of malaria in pregnancy – developing a rational basis for control |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Monitoring and evaluation of malaria control in pregnancy is essential for assessing the efficacy and effectiveness of health interventions aimed at reducing the major burden of this disease on women living in endemic areas. Yet there is no currently integrated strategic approach on how this should be achieved. Malaria control in pregnancy is formulated in relation to epidemiological patterns of exposure. Current emphasis is on intermittent preventive treatment (IPTp) during pregnancy with sulphadoxine-pyrimethamine in higher transmission areas, combined with insecticide treated bed nets (ITNs) and case management. Emphasis in lower transmission areas is primarily on case management. This paper discusses a rational basis for monitoring and evaluation based on: assessments of therapeutic and prophylactic drug efficacy; proportional reductions in parasite prevalence; seasonal effects; rapid assessment methodologies; birthweight and/or anaemia nomograms; case-coverage methods; maternal mortality indices; operational and programmatic indicators; and safety and pharmacovigilance of antimalarials in pregnancy. These approaches should be incorporated more effectively within National Programmes in order to facilitate surveillance and improve identification of high-risk women. Systems for utilizing routinely collected data should be strengthened, with greater attention to safety and pharmacovigilance with the advent of artemisinin combination therapies, and prospects of inadvertent exposures to artemisinins in the first trimester. Integrating monitoring activities within malaria control, reproductive health and adolescent-friendly services will be critical for implementation. Large-scale operational research is required to further evaluate the validity of currently proposed indicators, and in order to clarify the breadth and scale of implementation to be deployed. |
format |
Article in Journal/Newspaper |
author |
Dellicour Stephanie Uddenfeldt-Wort Ulrika Wasame Marian Brabin Bernard J Hill Jenny Gies Sabine |
author_facet |
Dellicour Stephanie Uddenfeldt-Wort Ulrika Wasame Marian Brabin Bernard J Hill Jenny Gies Sabine |
author_sort |
Dellicour Stephanie |
title |
Monitoring and evaluation of malaria in pregnancy – developing a rational basis for control |
title_short |
Monitoring and evaluation of malaria in pregnancy – developing a rational basis for control |
title_full |
Monitoring and evaluation of malaria in pregnancy – developing a rational basis for control |
title_fullStr |
Monitoring and evaluation of malaria in pregnancy – developing a rational basis for control |
title_full_unstemmed |
Monitoring and evaluation of malaria in pregnancy – developing a rational basis for control |
title_sort |
monitoring and evaluation of malaria in pregnancy – developing a rational basis for control |
publisher |
BMC |
publishDate |
2008 |
url |
https://doi.org/10.1186/1475-2875-7-S1-S6 https://doaj.org/article/4118b6c53f6345929e5a1b5558623700 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 7, Iss Suppl 1, p S6 (2008) |
op_relation |
http://www.malariajournal.com/content/7/S1/S6 https://doaj.org/toc/1475-2875 doi:10.1186/1475-2875-7-S1-S6 1475-2875 https://doaj.org/article/4118b6c53f6345929e5a1b5558623700 |
op_doi |
https://doi.org/10.1186/1475-2875-7-S1-S6 |
container_title |
Malaria Journal |
container_volume |
7 |
container_issue |
S1 |
_version_ |
1766342299686535168 |