ArticleMalaria journal2019
The potential of pregnant women as a sentinel population for malaria surveillance.
Article in Malaria journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05072613 (Pregnant Women Attending Antenatal Care Services as a Sentinel Population for Antimalarial Drug Resistance Genetic Surveillance in Africa), which is not on this map. Cited by 15 papers.
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The trial behind it
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Pregnant Women Attending Antenatal Care Services as a Sentinel Population for Antimalarial Drug Resistance Genetic Surveillance in Africa
Who cites it
15 citing papers in PubMed.
- Mapping inequity: spatial clustering of malaria in pregnancy in the Amhara region, Northwest Ethiopia (2018-2024).BMC infectious diseases · 2026Article
- Indoor residual spraying household visits as a platform for engaging pregnant women in malaria prevention on Bioko Island, Equatorial Guinea.BMC pregnancy and childbirth · 2025Article
- Pregnant women as a sentinel population for genomic surveillance of malaria in the Democratic Republic of the Congo: a population-based study.The Lancet. Global health · 2025Observational
- Detecting temporal and spatial malaria patterns from first antenatal care visits.Nature communications · 2023Article
- Spatio-temporal modelling of routine health facility data for malaria risk micro-stratification in mainland Tanzania.Scientific reports · 2023Article
- Using antenatal care as a platform for malaria surveillance data collection: study protocol.Malaria journal · 2023Article
- Women attending antenatal care as a sentinel surveillance population for malaria in Geita region, Tanzania: feasibility and acceptability to women and providers.Malaria journal · 2023Article
- Detecting temporal and spatial malaria patterns from first antenatal care visits.Research square · 2023Article
- Antenatal care positive responses to pregnant women in preventing and controlling malaria in pregnancy: the sub-Saharan African perspective.World journal of pediatrics : WJP · 2022Review
- Acceptability of single screening and treatment policy for the control of malaria in pregnancy: perceptions of providers and pregnant women from selected health facilities in Lindi region, Tanzania.Malaria journal · 2021Article
- Prevalence of malaria parasitaemia in school-aged children and pregnant women in endemic settings of sub-Saharan Africa: A systematic review and meta-analysis.Parasite epidemiology and control · 2020Review
- Epidemiology of malaria among pregnant women during their first antenatal clinic visit in the middle belt of Ghana: a cross sectional study.Malaria journal · 2020Article
- Routine data for malaria morbidity estimation in Africa: challenges and prospects.BMC medicine · 2020Article
- Sub-national stratification of malaria risk in mainland Tanzania: a simplified assembly of survey and routine data.Malaria journal · 2020Article
- Malaria prevalence in symptomatic and asymptomatic pregnant women in a high malaria-burden state in India.Tropical medicine and health · 2020Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWith increasing spatial heterogeneity of malaria transmission and a shift of the disease burden towards older children and adults, pregnant women attending antenatal care (ANC) have been proposed as a pragmatic sentinel population for malaria surveillance. However, the representativeness of routine ANC malaria test-positivity and its relationship with prevalence in other population subgroups are yet to be investigated.
methodsMonthly ANC malaria test-positivity data from all Tanzanian health facilities for January 2014 to May 2016 was compared to prevalence data from the School Malaria Parasitaemia Survey 2015, the Malaria Indicator Survey (MIS) 2015/16, the Malaria Atlas Project 2015, and a Bayesian model fitted to MIS data. Linear regression was used to describe the difference between malaria test-positivity in pregnant women and respective comparison groups as a function of ANC test-positivity and potential covariates.
resultsThe relationship between ANC test-positivity and survey prevalence in children follows spatially and biologically meaningful patterns. However, the uncertainty of the relationship was substantial, particularly in areas with high or perennial transmission. In comparison, modelled data estimated higher prevalence in children at low transmission intensities and lower prevalence at higher transmission intensities.
conclusionsPregnant women attending ANC are a pragmatic sentinel population to assess heterogeneity and trends in malaria prevalence in Tanzania. Yet, since ANC malaria test-positivity cannot be used to directly predict the prevalence in other population subgroups, complementary community-level measurements remain highly relevant.
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