Factors associated with malaria in early pregnancy in the health districts of Koudougou and Boulmiougou in Burkina Faso.

Authors

  • Smaïla Ouédraogo Département de santé publique, UFR/SDS, Université Joseph Ki-Zerbo, Ouagadougou, Burkina Faso

Keywords:

malaria, pregnancy, associated factors, Burkina Faso

Abstract

Malaria in pregnancy remains a public health problem in malaria-endemic areas. Depending on when it occurs during pregnancy, its impact on the pregnancy may be greater. The aim of this study was to determine the factors associated with malaria in early pregnancy in the health districts of Koudougou and Boulmiougou, Burkina Faso. A cross-sectional survey was carried out in two public health facilities of the Koudougou and Boulmiougou health districts in Burkina Faso from November 2015 to April 2016. Pregnant women who attended their first antennal clinic (ANC) visit were approached for participation in the study; they were screened for malaria. Univariate and multivariate logistic regressions were used to identify the factors associated with malaria in early pregnancy. In total, 248 pregnant women were included in the study. Gestational age at the time of enrolment was 14.5 weeks. The majority of pregnant women (53.2%) were attended their first ANC after 16 weeks of gestation. Malaria prevalence was 25% and the majority of infected women were asymptomatic (72.6%). After adjustment, maternal age below 20 years, anaemia and fever were the main risk factors associated with malaria in early pregnancy. Malaria was highly prevalent in early pregnancy where most pregnant women did not receive the intermittent preventive treatment with sulfadoxine-pyrimethamine. New preventive strategies should be assessed to cover the first months of pregnancy.

References

Accrombessi, M., Fievet, N., Yovo, E., Cottrell, G., Agbota, G., Massougbodji, A., Cot, M., & Briand, V. (2018). Prevalence and Associated Risk Factors of Malaria in the First Trimester of Pregnancy : A Preconceptional Cohort Study in Benin. The Journal of Infectious Diseases, 217(8), 1309‑1317. https://doi.org/10.1093/infdis/jiy009

Crawley, J., Hill, J., Yartey, J., Robalo, M., Serufilira, A., Ba-Nguz, A., Roman, E., Palmer, A., Asamoa, K., & Steketee, R. (2007). From evidence to action? Challenges to policy change and programme delivery for malaria in pregnancy. The Lancet. Infectious Diseases, 7(2), 145‑155. https://doi.org/10.1016/S1473-3099(07)70026-9

Dellicour, S., Tatem, A. J., Guerra, C. A., Snow, R. W., & ter Kuile, F. O. (2010). Quantifying the number of pregnancies at risk of malaria in 2007 : A demographic study. PLoS Medicine, 7(1), e1000221. https://doi.org/10.1371/journal.pmed.1000221

Guyatt, H. L., & Snow, R. W. (2004). Impact of malaria during pregnancy on low birth weight in sub-Saharan Africa. Clinical Microbiology Reviews, 17(4), 760‑769, table of contents. https://doi.org/10.1128/CMR.17.4.760-769.2004

Huynh, B.-T., Cottrell, G., Cot, M., & Briand, V. (2015). Burden of malaria in early pregnancy : A neglected problem? Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America, 60(4), 598‑604. https://doi.org/10.1093/cid/ciu848

Leuba, S. I., Westreich, D., Bose, C. L., Powers, K. A., Olshan, A., Taylor, S., Tshefu, A., Lokangaka, A., Carlo, W. A., Chomba, E., Liechty, E. A., Bucher, S. L., Esamai, F., Jessani, S., Saleem, S., Goldenberg, R. L., Moore, J., Nolen, T., Hemingway-Foday, J., … Bauserman, M. (2021). Predictors of Plasmodium falciparum infection in the first trimester among nulliparous women from Kenya, Zambia, and the Democratic Republic of the Congo. The Journal of Infectious Diseases, jiab588. https://doi.org/10.1093/infdis/jiab588

Ouédraogo, S., Bodeau-Livinec, F., Briand, V., Huynh, B.-T., Koura, G. K., Accrombessi, M. M., Fievet, N., Massougbodji, A., Deloron, P., & Cot, M. (2012). Malaria and gravidity interact to modify maternal haemoglobin concentrations during pregnancy. Malaria Journal, 11(1), 348. https://doi.org/10.1186/1475-2875-11-348

Ouma, P., van Eijk, A. M., Hamel, M. J., Parise, M., Ayisi, J. G., Otieno, K., Kager, P. A., & Slutsker, L. (2007). Malaria and anaemia among pregnant women at first antenatal clinic visit in Kisumu, western Kenya. Tropical Medicine & International Health: TM & IH, 12(12), 1515‑1523. https://doi.org/10.1111/j.1365-3156.2007.01960.x

Savage, E. J., Msyamboza, K., Gies, S., D’Alessandro, U., & Brabin, B. J. (2007). Maternal anaemia as an indicator for monitoring malaria control in pregnancy in sub-Saharan Africa. BJOG: An International Journal of Obstetrics and Gynaecology, 114(10), 1222‑1231. https://doi.org/10.1111/j.1471-0528.2007.01420.x

Schmiegelow, C., Matondo, S., Minja, D. T. R., Resende, M., Pehrson, C., Nielsen, B. B., Olomi, R., Nielsen, M. A., Deloron, P., Salanti, A., Lusingu, J., & Theander, T. G. (2017). Plasmodium falciparum Infection Early in Pregnancy has Profound Consequences for Fetal Growth. The Journal of Infectious Diseases, 216(12), 1601‑1610. https://doi.org/10.1093/infdis/jix530

Swysen, C., Vekemans, J., Bruls, M., Oyakhirome, S., Drakeley, C., Kremsner, P., Greenwood, B., Ofori-Anyinam, O., Okech, B., Villafana, T., Carter, T., Savarese, B., Duse, A., Reijman, A., Ingram, C., Frean, J., Ogutu, B., & Clinical Trials Partnership Committee. (2011). Development of standardized laboratory methods and quality processes for a phase III study of the RTS, S/AS01 candidate malaria vaccine. Malaria Journal, 10, 223. https://doi.org/10.1186/1475-2875-10-223

Walker, P. G. T., Griffin, J. T., Cairns, M., Rogerson, S. J., van Eijk, A. M., ter Kuile, F., & Ghani, A. C. (2013). A model of parity-dependent immunity to placental malaria. Nature Communications, 4, 1609. https://doi.org/10.1038/ncomms2605

WHO Malaria Policy Advisory Committee and Secretariat. (2016). Malaria Policy Advisory Committee to the WHO : Conclusions and recommendations of eighth biannual meeting (September 2015). Malaria Journal, 15, 117. https://doi.org/10.1186/s12936-016-1169-x

World Health Organization. (2004). A strategic framework for malaria prevention and control during pregnancy in the African region. Report AFR/MAL/04/01. Geneva, WHO. 27.

World Health Organization, null. (2012). Updated WHO Policy Recommendation (October 2012) : Intermittent Preventive Treatment of malaria in pregnancy using Sulfadoxine-Pyrimethamine (IPTp-SP). 2.

Yimam, Y., Nateghpour, M., Mohebali, M., & Abbaszadeh Afshar, M. J. (2021). A systematic review and meta-analysis of asymptomatic malaria infection in pregnant women in Sub-Saharan Africa : A challenge for malaria elimination efforts. PloS One, 16(4), e0248245. https://doi.org/10.1371/journal.pone.0248245

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Published

2022-12-25

How to Cite

Ouédraogo, S. (2022). Factors associated with malaria in early pregnancy in the health districts of Koudougou and Boulmiougou in Burkina Faso. Revue Africaine Des Sciences Sociales Et De La Santé Publique, 4(2), 303-314. Retrieved from https://revue-rasp.org/index.php/rasp/article/view/292

Issue

Vol. 4 No. 2 (2022): July - December 2022

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Articles

ARK

http://www.revue-rasp.org/index/ark:/00000/RASP.v4i2.217

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