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dc.contributor.authorHamer, Davidson Hen_US
dc.contributor.authorSingh, Mrigendra Pen_US
dc.contributor.authorWylie, Blair Jen_US
dc.contributor.authorYeboah-Antwi, Kojoen_US
dc.contributor.authorTuchman, Jordanen_US
dc.contributor.authorDesai, Meghnaen_US
dc.contributor.authorUdhayakumar, Venkatachalamen_US
dc.contributor.authorGupta, Pritien_US
dc.contributor.authorBrooks, Mohamad Ien_US
dc.contributor.authorShukla, Manmohan Men_US
dc.contributor.authorAwasthy, Kiranen_US
dc.contributor.authorSabin, Loraen_US
dc.contributor.authorMacLeod, William Ben_US
dc.contributor.authorDash, Aditya Pen_US
dc.contributor.authorSingh, Neeruen_US
dc.date.accessioned2012-01-09T20:58:40Z
dc.date.available2012-01-09T20:58:40Z
dc.date.copyright2009en_US
dc.date.issued2009-9-3en_US
dc.identifier.citationHamer, Davidson H, Mrigendra P Singh, Blair J Wylie, Kojo Yeboah-Antwi, Jordan Tuchman, Meghna Desai, Venkatachalam Udhayakumar, Priti Gupta, Mohamad I Brooks, Manmohan M Shukla, Kiran Awasthy, Lora Sabin, William B MacLeod, Aditya P Dash, Neeru Singh. "Burden of malaria in pregnancy in Jharkhand State, India" Malaria Journal 8:210. (2009)en_US
dc.identifier.issn1475-2875en_US
dc.identifier.urihttp://hdl.handle.net/2144/2948
dc.description.abstractBACKGROUND. Past studies in India included only symptomatic pregnant women and thus may have overestimated the proportion of women with malaria. Given the large population at risk, a cross sectional study was conducted in order to better define the burden of malaria in pregnancy in Jharkhand, a malaria-endemic state in central-east India. METHODS Cross-sectional surveys at antenatal clinics and delivery units were performed over a 12-month period at two district hospitals in urban and semi-urban areas, and a rural mission hospital. Malaria was diagnosed by Giemsa-stained blood smear and/or rapid diagnostic test using peripheral or placental blood. RESULTS 2,386 pregnant women were enrolled at the antenatal clinics and 718 at the delivery units. 1.8% (43/2382) of the antenatal clinic cohort had a positive diagnostic test for malaria (53.5% Plasmodium falciparum, 37.2% Plasmodium vivax, and 9.3% mixed infections). Peripheral parasitaemia was more common in pregnant women attending antenatal clinics in rural sites (adjusted relative risk [aRR] 4.31, 95%CI 1.84-10.11) and in those who were younger than 20 years (aRR 2.68, 95%CI 1.03-6.98). Among delivery unit participants, 1.7% (12/717) had peripheral parasitaemia and 2.4% (17/712) had placental parasitaemia. Women attending delivery units were more likely to be parasitaemic if they were in their first or second pregnancy (aRR 3.17, 95%CI 1.32-7.61), had fever in the last week (aRR 5.34, 95%CI 2.89-9.90), or had rural residence (aRR 3.10, 95%CI 1.66-5.79). Malaria control measures including indoor residual spraying (IRS) and untreated bed nets were common, whereas insecticide-treated bed nets (ITN) and malaria chemoprophylaxis were rarely used. CONCLUSION The prevalence of malaria among pregnant women was relatively low. However, given the large at-risk population in this malaria-endemic region of India, there is a need to enhance ITN availability and use for prevention of malaria in pregnancy, and to improve case management of symptomatic pregnant women.en_US
dc.description.sponsorshipThe United States Agency for International Development (9GHS-A-00-03-00020-00); Child and Family Applied Research project at Boston Universityen_US
dc.language.isoenen_US
dc.publisherBioMed Centralen_US
dc.rightsCopyright 2009 Hamer et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.en_US
dc.rights.urihttp://creativecommons.org/licenses/by/2.0en_US
dc.titleBurden of Malaria in Pregnancy in Jharkhand State, Indiaen_US
dc.typearticleen_US
dc.identifier.doi10.1186/1475-2875-8-210en_US
dc.identifier.pubmedid19728882en_US
dc.identifier.pmcid2744702en_US


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Copyright 2009 Hamer et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Except where otherwise noted, this item's license is described as Copyright 2009 Hamer et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.