Evidence map›Paper›PMID 27315799›Full record

ArticleMalaria journal2016

Malaria prevention practices and delivery outcome: a cross sectional study of pregnant women attending a tertiary hospital in northeastern Nigeria.

Hamzat U Muhammad, Fatima J Giwa, Adebola T Olayinka, Shakir M Balogun, IkeOluwapo Ajayi, Olufemi Ajumobi, Patrick Nguku

Open access · goldAbstract read
In one paragraph

Article in Malaria journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Hamzat U MuhammadNigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria. hamzaumar752@yahoo.com.
Fatima J GiwaNigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria.
Adebola T OlayinkaNigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria.
Shakir M BalogunDepartment of Medical Microbiology, Ahmadu Bello University Teaching Hospital Zaria, Zaria, Nigeria.
IkeOluwapo AjayiNigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria.
Olufemi AjumobiNigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria.
Patrick NgukuDepartment of Medical Microbiology, Ahmadu Bello University Teaching Hospital Zaria, Zaria, Nigeria.
African Field Epidemiology Network · NGAhmadu Bello University Teaching Hospital · NGFederal Ministry of Health · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMalaria in pregnancy remains a public health problem in Nigeria. It causes maternal anaemia and adversely affects birth outcome leading to low birth weight, abortions and still births. Nigeria has made great strides in addressing the prevention and control of malaria in pregnancy. However, recent demographic survey shows wide disparities in malaria control activities across the geopolitical zones. This situation has been compounded by the political unrest and population displacement especially in the Northeastern zone leaving a significant proportion of pregnant women at risk of diseases, including malaria. The use of malaria preventive measures during pregnancy and the risk of malaria parasitaemia, anaemia and low birth weight babies were assessed among parturient women in an insurgent area.

methodsA cross-sectional survey was conducted among 184 parturient women at Federal Medical Centre, Nguru in Yobe state, between July and November 2014. Information on demographics, antenatal care and prevention practices was collected using an interviewer-administered questionnaire. Maternal peripheral and the cord blood samples were screened for malaria parasitaemia by microscopy of Giemsa-stained blood films. The presence of anaemia was also determined by microhaemocrit method using the peripheral blood samples. Data was analysed using descriptive and analytical statistics.

resultsPrevalence of malaria parasitaemia, anaemia and low birth weight babies was 40.0, 41.0 and 37.0 %, respectively, and mothers aged younger than 25 years were mostly affected. Eighty (43.0 %) of the women received up to two doses of sulfadoxine-pyrimethamine for intermittent preventive treatment (IPTp-SP) during pregnancy and most, 63 (83.0 %) of those tested malaria positive received less than these. Presence of malaria infection at antenatal clinic enrollment (OR: 6.6; 95 % CI: 3.4-13.0), non-adherence to direct observation therapy for administration of IPTp-SP (OR: 4.6; 95 % CI: 2.2-9.5) and receiving <two doses of IPTp-SP (OR: 3.1; 95 % CI: 1.5-6.7) were significant risk factors for malaria parasitaemia at delivery.

conclusionThe high prevalence of malaria in pregnancy and the adverse outcome in this insurgence area reflects the poor access of pregnant women to preventive measures such as IPTp-SP. Effort to reach displaced pregnant women and supervision of delivery of malaria preventive measures by healthcare providers should be intensified.

Indexed as

Health Services ResearchAdolescentAdultCommunicable Disease ControlCross-Sectional StudiesDisease Transmission, InfectiousFemaleHealth Services AccessibilityHumansMalariaMicroscopyNigeriaParasitemiaPregnancyPregnancy Complications, InfectiousPregnant PeopleAnaemiaIntermittent preventive treatmentLow birth weightMalaria parasitaemiaParturient mothers

Identifiers

PMID27315799
PMCPMC4912701
OpenAlexW2427716037

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.