BibTex format
@article{Kitojo:2020:10.1186/s12936-020-03513-0,
author = {Kitojo, C and Chacky, F and Kigadye, ES and Mugasa, JP and Lusasi, A and Mohamed, A and Walker, P and Reaves, EJ and Gutman, JR and Ishengoma, DS},
doi = {10.1186/s12936-020-03513-0},
journal = {Malaria Journal},
pages = {1--8},
title = {Evaluation of a single screen and treat strategy to detect asymptomatic malaria among pregnant women from selected health facilities in Lindi region, Tanzania},
url = {http://dx.doi.org/10.1186/s12936-020-03513-0},
volume = {19},
year = {2020}
}
RIS format (EndNote, RefMan)
TY - JOUR
AB - BackgroundIn areas of high transmission, malaria in pregnancy (MiP) primarily causes asymptomatic infections; these infections nonetheless increase the risk of adverse maternal and fetal outcomes. In 2014, Tanzania initiated a single screening and treatment (SST) strategy for all pregnant women at their first antenatal care (ANC) visit using malaria rapid diagnostic tests (RDT) for surveillance purposes. However, there is paucity of data on the effectiveness of SST in the prevention of MiP. The objective of this study was to estimate the number of asymptomatic infections among pregnant women detected by SST, which would have been missed in the absence of the policy.MethodsData from pregnant women attending their first ANC visits between October 2017 and June 2018, including gestational age, history of fever, and RDT results, were abstracted from ANC registers in eight health centres in two randomly selected districts, Kilwa and Lindi, in Lindi Region. The proportion of symptomatic (with history of fever in the past 48 h) and asymptomatic pregnant women with positive RDTs were calculated and stratified by trimester (first, second and third). The study areas were categorized as low transmission with prevalence < 10% or moderate/high with ≥ 10%.ResultsOver the study period, 1,845 women attended their first ANC visits; 22.1% were in the first trimester (< 12 weeks gestation age). Overall 15.0% of the women had positive RDTs, and there was a trend towards higher malaria prevalence in the first (15.9%) and second (15.2%) trimesters, compared to the third (7.1%), although the differences were not statistically significant (p = 0.07). In total, 6.9% of women reported fever within the past 48 h and, of these, 96.1% were RDT positive. For every 100 pregnant women in the moderate/high and low transmission areas, SST identified 60 and 26 pregnant women, respectively, with asymptomatic infections that would have otherwise
AU - Kitojo,C
AU - Chacky,F
AU - Kigadye,ES
AU - Mugasa,JP
AU - Lusasi,A
AU - Mohamed,A
AU - Walker,P
AU - Reaves,EJ
AU - Gutman,JR
AU - Ishengoma,DS
DO - 10.1186/s12936-020-03513-0
EP - 8
PY - 2020///
SN - 1475-2875
SP - 1
TI - Evaluation of a single screen and treat strategy to detect asymptomatic malaria among pregnant women from selected health facilities in Lindi region, Tanzania
T2 - Malaria Journal
UR - http://dx.doi.org/10.1186/s12936-020-03513-0
UR - https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000597243000001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR - https://malariajournal.biomedcentral.com/articles/10.1186/s12936-020-03513-0
UR - http://hdl.handle.net/10044/1/100078
VL - 19
ER -