180 likes | 561 Views
The Impact of Malaria on Pregnant Women. Eric Adjei, MPH Student Walden University November, 2010. Agenda. Overview of malaria Malaria during pregnancy Prevention and Control Summary. Expected Learning Outcomes. Appreciate the danger of malaria in pregnancy
E N D
The Impact of Malaria on Pregnant Women. Eric Adjei, MPH Student Walden 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 fromhttp://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 fromhttp://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
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_3MeetingMi nutes.pdf
Sources for Further Reading Helen, 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/pr egnancy.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