Cargando…

Population-based prevalence of malaria among pregnant women in Enugu State, Nigeria: the Healthy Beginning Initiative

BACKGROUND: Malaria adversely affects pregnant women and their fetuses or neonates. Estimates of the malaria burden in pregnant women based on health facilities often do not present a true picture of the problem due to the low proportion of women delivering at these facilities in malaria-endemic reg...

Descripción completa

Detalles Bibliográficos
Autores principales: Gunn, Jayleen K. L., Ehiri, John E., Jacobs, Elizabeth T., Ernst, Kacey C., Pettygrove, Sydney, Kohler, Lindsay N., Haenchen, Steven D., Obiefune, Michael C., Ezeanolue, Chinenye O., Ogidi, Amaka G., Ezeanolue, Echezona E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4635587/
https://www.ncbi.nlm.nih.gov/pubmed/26542777
http://dx.doi.org/10.1186/s12936-015-0975-x
_version_ 1782399526641860608
author Gunn, Jayleen K. L.
Ehiri, John E.
Jacobs, Elizabeth T.
Ernst, Kacey C.
Pettygrove, Sydney
Kohler, Lindsay N.
Haenchen, Steven D.
Obiefune, Michael C.
Ezeanolue, Chinenye O.
Ogidi, Amaka G.
Ezeanolue, Echezona E.
author_facet Gunn, Jayleen K. L.
Ehiri, John E.
Jacobs, Elizabeth T.
Ernst, Kacey C.
Pettygrove, Sydney
Kohler, Lindsay N.
Haenchen, Steven D.
Obiefune, Michael C.
Ezeanolue, Chinenye O.
Ogidi, Amaka G.
Ezeanolue, Echezona E.
author_sort Gunn, Jayleen K. L.
collection PubMed
description BACKGROUND: Malaria adversely affects pregnant women and their fetuses or neonates. Estimates of the malaria burden in pregnant women based on health facilities often do not present a true picture of the problem due to the low proportion of women delivering at these facilities in malaria-endemic regions. METHODS: Data for this study were obtained from the Healthy Beginning Initiative using community-based sampling. Self-identified pregnant women between the ages of 17–45 years were recruited from churches in Enugu State, Nigeria. Malaria parasitaemia was classified as high and low based on the malaria plus system. RESULTS: Of the 2069 pregnant women for whom malaria parasitaemia levels were recorded, over 99 % tested positive for malaria parasitaemia, 62 % showed low parasitaemia and 38 % high parasitaemia. After controlling for confounding variables, odds for high parasitaemia were lower among those who had more people in the household (for every one person increase in a household, OR = 0.94, 95 % CI 0.89–0.99). CONCLUSION: Results of this study are consistent with hospital-based estimates of malaria during pregnancy in southeastern Nigeria. Based on the high prevalence of malaria parasitaemia in this sample, education on best practices to prevent malaria during pregnancy, and resources in support of these practices are urgently needed.
format Online
Article
Text
id pubmed-4635587
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-46355872015-11-07 Population-based prevalence of malaria among pregnant women in Enugu State, Nigeria: the Healthy Beginning Initiative Gunn, Jayleen K. L. Ehiri, John E. Jacobs, Elizabeth T. Ernst, Kacey C. Pettygrove, Sydney Kohler, Lindsay N. Haenchen, Steven D. Obiefune, Michael C. Ezeanolue, Chinenye O. Ogidi, Amaka G. Ezeanolue, Echezona E. Malar J Research BACKGROUND: Malaria adversely affects pregnant women and their fetuses or neonates. Estimates of the malaria burden in pregnant women based on health facilities often do not present a true picture of the problem due to the low proportion of women delivering at these facilities in malaria-endemic regions. METHODS: Data for this study were obtained from the Healthy Beginning Initiative using community-based sampling. Self-identified pregnant women between the ages of 17–45 years were recruited from churches in Enugu State, Nigeria. Malaria parasitaemia was classified as high and low based on the malaria plus system. RESULTS: Of the 2069 pregnant women for whom malaria parasitaemia levels were recorded, over 99 % tested positive for malaria parasitaemia, 62 % showed low parasitaemia and 38 % high parasitaemia. After controlling for confounding variables, odds for high parasitaemia were lower among those who had more people in the household (for every one person increase in a household, OR = 0.94, 95 % CI 0.89–0.99). CONCLUSION: Results of this study are consistent with hospital-based estimates of malaria during pregnancy in southeastern Nigeria. Based on the high prevalence of malaria parasitaemia in this sample, education on best practices to prevent malaria during pregnancy, and resources in support of these practices are urgently needed. BioMed Central 2015-11-05 /pmc/articles/PMC4635587/ /pubmed/26542777 http://dx.doi.org/10.1186/s12936-015-0975-x Text en © Gunn et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Gunn, Jayleen K. L.
Ehiri, John E.
Jacobs, Elizabeth T.
Ernst, Kacey C.
Pettygrove, Sydney
Kohler, Lindsay N.
Haenchen, Steven D.
Obiefune, Michael C.
Ezeanolue, Chinenye O.
Ogidi, Amaka G.
Ezeanolue, Echezona E.
Population-based prevalence of malaria among pregnant women in Enugu State, Nigeria: the Healthy Beginning Initiative
title Population-based prevalence of malaria among pregnant women in Enugu State, Nigeria: the Healthy Beginning Initiative
title_full Population-based prevalence of malaria among pregnant women in Enugu State, Nigeria: the Healthy Beginning Initiative
title_fullStr Population-based prevalence of malaria among pregnant women in Enugu State, Nigeria: the Healthy Beginning Initiative
title_full_unstemmed Population-based prevalence of malaria among pregnant women in Enugu State, Nigeria: the Healthy Beginning Initiative
title_short Population-based prevalence of malaria among pregnant women in Enugu State, Nigeria: the Healthy Beginning Initiative
title_sort population-based prevalence of malaria among pregnant women in enugu state, nigeria: the healthy beginning initiative
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4635587/
https://www.ncbi.nlm.nih.gov/pubmed/26542777
http://dx.doi.org/10.1186/s12936-015-0975-x
work_keys_str_mv AT gunnjayleenkl populationbasedprevalenceofmalariaamongpregnantwomeninenugustatenigeriathehealthybeginninginitiative
AT ehirijohne populationbasedprevalenceofmalariaamongpregnantwomeninenugustatenigeriathehealthybeginninginitiative
AT jacobselizabetht populationbasedprevalenceofmalariaamongpregnantwomeninenugustatenigeriathehealthybeginninginitiative
AT ernstkaceyc populationbasedprevalenceofmalariaamongpregnantwomeninenugustatenigeriathehealthybeginninginitiative
AT pettygrovesydney populationbasedprevalenceofmalariaamongpregnantwomeninenugustatenigeriathehealthybeginninginitiative
AT kohlerlindsayn populationbasedprevalenceofmalariaamongpregnantwomeninenugustatenigeriathehealthybeginninginitiative
AT haenchenstevend populationbasedprevalenceofmalariaamongpregnantwomeninenugustatenigeriathehealthybeginninginitiative
AT obiefunemichaelc populationbasedprevalenceofmalariaamongpregnantwomeninenugustatenigeriathehealthybeginninginitiative
AT ezeanoluechinenyeo populationbasedprevalenceofmalariaamongpregnantwomeninenugustatenigeriathehealthybeginninginitiative
AT ogidiamakag populationbasedprevalenceofmalariaamongpregnantwomeninenugustatenigeriathehealthybeginninginitiative
AT ezeanolueechezonae populationbasedprevalenceofmalariaamongpregnantwomeninenugustatenigeriathehealthybeginninginitiative