Malaria prevalence in symptomatic and asymptomatic pregnant women in a high malaria-burden state in India
Abstract Introduction Malaria in pregnancy (‘MiP’) poses risks to mother, foetus and newborn. Studies from Africa and Asia have reported high prevalence of ‘MiP’ and recommended further research to address ‘MiP’. India has a significant burden of ‘MiP’ but most of the studies are a decade old. Hardl...
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ftdoajarticles:oai:doaj.org/article:796c592ce4714bbc916ae156ec3fdfd0 2023-05-15T15:17:54+02:00 Malaria prevalence in symptomatic and asymptomatic pregnant women in a high malaria-burden state in India Samir Garg Mukesh Dewangan Omprakash Barman 2020-08-01T00:00:00Z https://doi.org/10.1186/s41182-020-00259-y https://doaj.org/article/796c592ce4714bbc916ae156ec3fdfd0 EN eng BMC http://link.springer.com/article/10.1186/s41182-020-00259-y https://doaj.org/toc/1349-4147 doi:10.1186/s41182-020-00259-y 1349-4147 https://doaj.org/article/796c592ce4714bbc916ae156ec3fdfd0 Tropical Medicine and Health, Vol 48, Iss 1, Pp 1-10 (2020) Malaria Pregnancy Community health workers Screening India Febrile Arctic medicine. Tropical medicine RC955-962 article 2020 ftdoajarticles https://doi.org/10.1186/s41182-020-00259-y 2022-12-31T13:58:31Z Abstract Introduction Malaria in pregnancy (‘MiP’) poses risks to mother, foetus and newborn. Studies from Africa and Asia have reported high prevalence of ‘MiP’ and recommended further research to address ‘MiP’. India has a significant burden of ‘MiP’ but most of the studies are a decade old. Hardly any studies exist in India that report on asymptomatic malaria in pregnant women. The current Indian policies for malaria control are silent on ‘MiP’. A campaign was carried out by community health workers (CHWs) in 2019 to screen pregnant women across rural Chhattisgarh. Methods This is a cross-sectional study. Malaria was tested in pregnant women by CHWs using bivalent rapid tests. Multi-stage sampling was used to cover 21,572 pregnant women screened across different geographical areas of rural Chhattisgarh. Cross-tabulation and multivariate regression were used to find out the relationship of ‘MiP’ with different symptoms and geographical areas. GIS maps were used to compare malaria in pregnant women against overall febrile population. Results In rural Chhattisgarh, malaria was present in 0.81% of the pregnant women at the time of testing. ‘MiP’ prevalence varied across geographies, reaching 4.48% in the geographical division with highest burden. Febrile pregnant women had three times greater malaria-positivity than overall febrile population and both showed a similar geographical pattern. Discussion Prevalence of ‘MiP’ was found to be less than earlier studies in the state. Though overall malaria in India has shown some decline, a policy response is needed for ‘MiP’ in high-burden areas. Fever, diarrhoea and jaundice remain relevant symptoms in ‘MiP’, but around one fourth of malaria-positive pregnant-women were afebrile, suggesting the need for strategies to address it. Conclusion The current study based on a large sample provides fresh evidence on ‘MiP’ in India. It used CHWs as skilled providers for large-scale screening for malaria. In high-burden areas, intermittent screening and treatment (IST) of all ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Indian Tropical Medicine and Health 48 1 |
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topic |
Malaria Pregnancy Community health workers Screening India Febrile Arctic medicine. Tropical medicine RC955-962 |
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Malaria Pregnancy Community health workers Screening India Febrile Arctic medicine. Tropical medicine RC955-962 Samir Garg Mukesh Dewangan Omprakash Barman Malaria prevalence in symptomatic and asymptomatic pregnant women in a high malaria-burden state in India |
topic_facet |
Malaria Pregnancy Community health workers Screening India Febrile Arctic medicine. Tropical medicine RC955-962 |
description |
Abstract Introduction Malaria in pregnancy (‘MiP’) poses risks to mother, foetus and newborn. Studies from Africa and Asia have reported high prevalence of ‘MiP’ and recommended further research to address ‘MiP’. India has a significant burden of ‘MiP’ but most of the studies are a decade old. Hardly any studies exist in India that report on asymptomatic malaria in pregnant women. The current Indian policies for malaria control are silent on ‘MiP’. A campaign was carried out by community health workers (CHWs) in 2019 to screen pregnant women across rural Chhattisgarh. Methods This is a cross-sectional study. Malaria was tested in pregnant women by CHWs using bivalent rapid tests. Multi-stage sampling was used to cover 21,572 pregnant women screened across different geographical areas of rural Chhattisgarh. Cross-tabulation and multivariate regression were used to find out the relationship of ‘MiP’ with different symptoms and geographical areas. GIS maps were used to compare malaria in pregnant women against overall febrile population. Results In rural Chhattisgarh, malaria was present in 0.81% of the pregnant women at the time of testing. ‘MiP’ prevalence varied across geographies, reaching 4.48% in the geographical division with highest burden. Febrile pregnant women had three times greater malaria-positivity than overall febrile population and both showed a similar geographical pattern. Discussion Prevalence of ‘MiP’ was found to be less than earlier studies in the state. Though overall malaria in India has shown some decline, a policy response is needed for ‘MiP’ in high-burden areas. Fever, diarrhoea and jaundice remain relevant symptoms in ‘MiP’, but around one fourth of malaria-positive pregnant-women were afebrile, suggesting the need for strategies to address it. Conclusion The current study based on a large sample provides fresh evidence on ‘MiP’ in India. It used CHWs as skilled providers for large-scale screening for malaria. In high-burden areas, intermittent screening and treatment (IST) of all ... |
format |
Article in Journal/Newspaper |
author |
Samir Garg Mukesh Dewangan Omprakash Barman |
author_facet |
Samir Garg Mukesh Dewangan Omprakash Barman |
author_sort |
Samir Garg |
title |
Malaria prevalence in symptomatic and asymptomatic pregnant women in a high malaria-burden state in India |
title_short |
Malaria prevalence in symptomatic and asymptomatic pregnant women in a high malaria-burden state in India |
title_full |
Malaria prevalence in symptomatic and asymptomatic pregnant women in a high malaria-burden state in India |
title_fullStr |
Malaria prevalence in symptomatic and asymptomatic pregnant women in a high malaria-burden state in India |
title_full_unstemmed |
Malaria prevalence in symptomatic and asymptomatic pregnant women in a high malaria-burden state in India |
title_sort |
malaria prevalence in symptomatic and asymptomatic pregnant women in a high malaria-burden state in india |
publisher |
BMC |
publishDate |
2020 |
url |
https://doi.org/10.1186/s41182-020-00259-y https://doaj.org/article/796c592ce4714bbc916ae156ec3fdfd0 |
geographic |
Arctic Indian |
geographic_facet |
Arctic Indian |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Tropical Medicine and Health, Vol 48, Iss 1, Pp 1-10 (2020) |
op_relation |
http://link.springer.com/article/10.1186/s41182-020-00259-y https://doaj.org/toc/1349-4147 doi:10.1186/s41182-020-00259-y 1349-4147 https://doaj.org/article/796c592ce4714bbc916ae156ec3fdfd0 |
op_doi |
https://doi.org/10.1186/s41182-020-00259-y |
container_title |
Tropical Medicine and Health |
container_volume |
48 |
container_issue |
1 |
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1766348158041849856 |