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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Placental malaria is rare among zanzibari pregnant women who did not receive intermittent preventive treatment in pregnancy
American Journal of Tropical Medicine and Hygiene, Volume 91, No. 2, Year 2014
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Description
Zanzibar has transitioned from malaria control to the pre-elimination phase, and the continued need for intermittent preventive treatment during pregnancy (IPTp) has been questioned. We conducted a prospective observational study to estimate placental malaria positivity rate among women who did not receive IPTp with sulfadoxinepyrimethamine. A convenience sample of pregnant women was enrolled from six clinics on the day of delivery from August of 2011 to September of 2012. Dried placental blood spot specimens were analyzed by polymerase chain reaction (PCR); 9 of 1, 349 specimens (0. 7%; precision estimate = 0. 2-1. 1%) were PCR-positive for Plasmodium falciparum. Placental infection was detected on both Pemba (N = 3) and Unguja (N = 6). Placental malaria positivity in Zanzibar was low, even in the absence of IPTp. It may be reasonable for the Ministry of Health to consider discontinuing IPTp, intensifying surveillance efforts, and promoting insecticide-treated nets and effective case management of malaria in pregnancy. Copyright © 2014 by The American Society of Tropical Medicine and Hygiene.
Authors & Co-Authors
Plotkin, Marya K.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
United States, Baltimore
Jhpiego Corporation
Said, K.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Tanzania, Zanzibar City
Zanzibar Ministry of Health
Msellem, Mwinyi I.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Tanzania, Zanzibar City
Zanzibar Ministry of Health
Chase, Rachel P.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
Hendler, Natalie
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
United States, Baltimore
Jhpiego Corporation
Khamis, Asma Ramadhan
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
United States, Baltimore
Jhpiego Corporation
Roman, Elaine
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
United States, Baltimore
Jhpiego Corporation
Kitojo, Chonge A.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
United States, Atlanta
Centers for Disease Control and Prevention
Schwartz, Alanna C.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
United States, San Francisco
Ucsf School of Medicine
Gutman, Julie R.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
United States, Atlanta
Centers for Disease Control and Prevention
McElroy, Peter D.
United States, Baltimore
Johns Hopkins Bloomberg School of Public Health
United States, Atlanta
Centers for Disease Control and Prevention
Statistics
Citations: 11
Authors: 11
Affiliations: 5
Identifiers
Doi:
10.4269/ajtmh.13-0586
ISSN:
00029637
Research Areas
Health System And Policy
Infectious Diseases
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cohort Study
Participants Gender
Female