OBJECTIVE: To determine the prevalence of malaria and anaemia among urban and peri-urban women attending their first antenatal clinic (ANC) in an area of perennial malaria transmission. METHODS:Between November 2003 and May 2004 we screened first ANC attenders for malaria and anaemia in a large urban hospital in Kisumu (western Kenya) and interviewed them to obtain demographic and medical information. RESULTS: Among the 685 study participants, prevalence of malaria parasitaemia was 18.0%, prevalence of any anaemia (haemoglobin < 11 g/dl) was 69.1% and prevalence of moderate anaemia was (haemoglobin < 8 g/dl) 11.8%. Sixteen women were hospitalized during pregnancy, eight because of malaria. In multivariate analysis, young age, living in a house with mud walls, a visit to rural area, peri-urban residence, second trimester of pregnancy and Luo ethnicity were significant risk factors for malaria parasitaemia. Malaria was an important risk factor for any and moderate anaemia; use of an insecticide-treated net (ITN) was a protective factor for any anaemia. Married women with a higher level of education, better-quality housing and full-time employment were more likely to use an ITN. CONCLUSION:Malaria and anaemia are established problems by the time of the first ANC visit. Mechanisms to deliver ITNs to women of child-bearing age before they become pregnant need to be explored. Early ANC visits are warranted in order for women to benefit from policies aimed at reducing the burden of malaria and anaemia.
RCT Entities:
OBJECTIVE: To determine the prevalence of malaria and anaemia among urban and peri-urban women attending their first antenatal clinic (ANC) in an area of perennial malaria transmission. METHODS: Between November 2003 and May 2004 we screened first ANC attenders for malaria and anaemia in a large urban hospital in Kisumu (western Kenya) and interviewed them to obtain demographic and medical information. RESULTS: Among the 685 study participants, prevalence of malaria parasitaemia was 18.0%, prevalence of any anaemia (haemoglobin < 11 g/dl) was 69.1% and prevalence of moderate anaemia was (haemoglobin < 8 g/dl) 11.8%. Sixteen women were hospitalized during pregnancy, eight because of malaria. In multivariate analysis, young age, living in a house with mud walls, a visit to rural area, peri-urban residence, second trimester of pregnancy and Luo ethnicity were significant risk factors for malaria parasitaemia. Malaria was an important risk factor for any and moderate anaemia; use of an insecticide-treated net (ITN) was a protective factor for any anaemia. Married women with a higher level of education, better-quality housing and full-time employment were more likely to use an ITN. CONCLUSION:Malaria and anaemia are established problems by the time of the first ANC visit. Mechanisms to deliver ITNs to women of child-bearing age before they become pregnant need to be explored. Early ANC visits are warranted in order for women to benefit from policies aimed at reducing the burden of malaria and anaemia.
Authors: Matthew M Ippolito; Kelly M Searle; Harry Hamapumbu; Timothy M Shields; Jennifer C Stevenson; Philip E Thuma; William J Moss Journal: Am J Trop Med Hyg Date: 2017-08-18 Impact factor: 2.345
Authors: Stephanie L Martin; Gretchen L Seim; Salome Wawire; Gina M Chapleau; Sera L Young; Katherine L Dickin Journal: Matern Child Nutr Date: 2016-02-22 Impact factor: 3.092
Authors: Sherri Bucher; Irene Marete; Constance Tenge; Edward A Liechty; Fabian Esamai; Archana Patel; Shivaprasad S Goudar; Bhalchandra Kodkany; Ana Garces; Elwyn Chomba; Fernando Althabe; Mabel Barreuta; Omrana Pasha; Patricia Hibberd; Richard J Derman; Kevin Otieno; K Hambidge; Nancy F Krebs; Waldemar A Carlo; Carolyne Chemweno; Robert L Goldenberg; Elizabeth M McClure; Janet L Moore; Dennis D Wallace; Sarah Saleem; Marion Koso-Thomas Journal: Reprod Health Date: 2015-06-08 Impact factor: 3.223