Implementation of intermittent preventive treatment in pregnancy with sulphadoxine/pyrimethamine (IPTp-SP) at a district health centre in rural Senegal
2008

Implementation of Malaria Prevention in Pregnancy in Senegal

Sample size: 1781 publication 10 minutes Evidence: moderate

Author Information

Author(s): Olliaro Piero L, Delenne Henriette, Cisse Moustafa, Badiane Malick, Olliaro Alberto, Vaillant Michel, Brasseur Philippe

Primary Institution: UNICEF/UNDP/WB/WHO Special Programme for Research and Training in Tropical Diseases (TDR)

Hypothesis

Does intermittent preventive treatment with sulphadoxine/pyrimethamine reduce the incidence of malaria and low birth weight in pregnant women?

Conclusion

The implementation of IPTp-SP was high, but it did not significantly reduce maternal malaria or low birth weight.

Supporting Evidence

  • 69% of women attended the antenatal clinic at least three times.
  • 95% of women received at least one dose of SP.
  • Low birth weight prevalence was 10.8% pre-IPTp and 7.7% during IPTp deployment.

Takeaway

This study looked at how giving pregnant women medicine to prevent malaria worked in a small village in Senegal. They found that many women got the medicine, but it didn't really change how often they got malaria or how much their babies weighed.

Methodology

Data was collected from antenatal clinic registries and analyzed for women attending the clinic from 2000 to 2007.

Potential Biases

Data redundancy in record keeping may lead to inaccuracies in reported outcomes.

Limitations

The study did not assess placental malaria and the effects of other concurrent interventions were not controlled for.

Participant Demographics

Women attending the antenatal clinic, median age 28 years, with a range of gravidity from 0 to 14.

Statistical Information

P-Value

0.12

Confidence Interval

95% CI not provided

Statistical Significance

p = 0.12

Digital Object Identifier (DOI)

10.1186/1475-2875-7-234

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