Malaria in pregnancy in the Solomon Islands: Barriers to prevention and control

Appleyard, Bridget, Tuni, Makiva, Cheng, Qin, Chen, Nanhua, Bryan, Joan and McCarthy, James S. (2008) Malaria in pregnancy in the Solomon Islands: Barriers to prevention and control. American Journal of Tropical Medicine & Hygiene, 78 3: 449-454.


Author Appleyard, Bridget
Tuni, Makiva
Cheng, Qin
Chen, Nanhua
Bryan, Joan
McCarthy, James S.
Title Malaria in pregnancy in the Solomon Islands: Barriers to prevention and control
Journal name American Journal of Tropical Medicine & Hygiene   Check publisher's open access policy
ISSN 0002-9637
1476-1645
Publication date 2008-03-01
Year available 2008
Sub-type Article (original research)
Open Access Status Not yet assessed
Volume 78
Issue 3
Start page 449
End page 454
Total pages 6
Editor Dr James W. Kazura
Place of publication United States
Publisher American Society for Tropical Medicine and Hygiene
Language eng
Subject C1
920109 Infectious Diseases
110803 Medical Parasitology
Formatted abstract
A study of malaria in pregnancy (MIP) was undertaken in Marovo Lagoon, Solomon Islands, to evaluate pregnancy-specific control strategies for malaria. Peripheral parasitemia was present in 18% (19/106) of women: 15 Plasmodium falciparum and 4 P. vivax. Primigravidae were twice as likely to be parasitemic as multigravidae (31% versus 14%; relative risk: 2.24; 95% confidence interval: 1.01–4.96; P = 0.05). Although ante-natal clinic attendance was high, women booked late (mean, 19.7 weeks) and attended irregularly. Free insecticide-treated nets (ITN) were not distributed despite government policy. Primigravidae were less likely to have an ITN in their homes than multigravidae (relative risk: 2.13; 95% confidence interval: 1.03–4.40). Coverage with chloroquine prophylaxis was low. This study revealed barriers to control of MIP at both the health service and client level. To develop an evidence-based malaria control policy in pregnancy for this region, further study of the epidemiology of malaria and its effects, including social and behavioral aspects, is needed.
Q-Index Code C1
Q-Index Status Confirmed Code

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2009 Higher Education Research Data Collection
School of Public Health Publications
 
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Created: Thu, 26 Mar 2009, 01:57:36 EST by Geraldine Fitzgerald on behalf of School of Public Health