Population-based prevalence of malaria among pregnant women in Enugu State, Nigeria: the Healthy Beginning Initiative
AuthorGunn, Jayleen KL
Ehiri, John E.
Jacobs, Elizabeth T.
Ernst, Kacey C.
Kohler, Lindsay N.
Haenchen, Steven D.
Obiefune, Michael C.
Ezeanolue, Chinenye O.
Ogidi, Amaka G.
Ezeanolue, Echezona E.
AffiliationDepartment of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona
Department of Health Promotion Sciences/Global Health Institute, Mel and Enid Zuckerman College of Public Health, University of Arizona
University of Arizona Cancer Center
Prevention, Education, Treatment, Training and Research-Global Solutions-PeTR-GS, Enugu
Healthy Sunrise Foundation
Global Health and Implementation Science Initiative, School of Community Health Sciences, University of Nevada
MetadataShow full item record
CitationGunn et al. Malar J (2015) 14:438 DOI 10.1186/s12936-015-0975-x
Rights© 2015 Gunn et al. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/),
Collection InformationThis item is part of the UA Faculty Publications collection. For more information this item or other items in the UA Campus Repository, contact the University of Arizona Libraries at email@example.com.
AbstractBACKGROUND: Malaria adversely affects pregnant women and their fetuses or neonates. Estimates of the malaria burden in pregnant women based on health facilities often do not present a true picture of the problem due to the low proportion of women delivering at these facilities in malaria-endemic regions. METHODS: Data for this study were obtained from the Healthy Beginning Initiative using community-based sampling. Self-identified pregnant women between the ages of 17-45 years were recruited from churches in Enugu State, Nigeria. Malaria parasitaemia was classified as high and low based on the malaria plus system. RESULTS: Of the 2069 pregnant women for whom malaria parasitaemia levels were recorded, over 99 % tested positive for malaria parasitaemia, 62 % showed low parasitaemia and 38 % high parasitaemia. After controlling for confounding variables, odds for high parasitaemia were lower among those who had more people in the household (for every one person increase in a household, OR = 0.94, 95 % CI 0.89-0.99). CONCLUSION: Results of this study are consistent with hospital-based estimates of malaria during pregnancy in southeastern Nigeria. Based on the high prevalence of malaria parasitaemia in this sample, education on best practices to prevent malaria during pregnancy, and resources in support of these practices are urgently needed.
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