ArticleTropical medicine and health2020
Malaria prevalence in symptomatic and asymptomatic pregnant women in a high malaria-burden state in India.
Article in Tropical medicine and health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.
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Who cites it
8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 9 citations in OpenAlex.
- Applications of geographical information system and spatial analysis in Indian health research: a systematic review.BMC health services research · 2024Pooled it
- Prevalence and proportion estimate of asymptomatic Plasmodium infection in Asia: a systematic review and meta-analysis.Scientific reports · 2023Pooled it
- Malaria in pregnancy in India: a 50-year bird's eye.Frontiers in public health · 2023Pooled it
- Hidden burden of malaria in pregnancy in hard-to-reach areas of Odisha, India: challenges to elimination and the case for integrating molecular surveillance.Frontiers in public health · 2026Article
- Socioecological risk factors associated with Malaria in Pregnancy in an endemic state of India: a retrospective study.BMJ public health · 2023Article
- Impact of Sub-patent Malaria During Pregnancy on Birth-Weight in Odisha, India: Time-to-Event Analysis of Prospective Longitudinal Follow-Up of a Survey.Journal of epidemiology and global health · 2023Article
- Assessing afebrile malaria and bed-net use in a high-burden region of India: Findings from multiple rounds of mass screening.PloS one · 2023Article
- Improving the approach to assess impact of anaemia control programs during pregnancy in India: a critical analysis.BMC pregnancy and childbirth · 2022Article
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3 authors at 1 institution in 1 country.
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Abstract
introductionMalaria in pregnancy ('MiP') poses risks to mother, foetus and newborn. Studies from Africa and Asia have reported high prevalence of 'MiP' and recommended further research to address 'MiP'. India has a significant burden of 'MiP' but most of the studies are a decade old. Hardly any studies exist in India that report on asymptomatic malaria in pregnant women. The current Indian policies for malaria control are silent on 'MiP'. A campaign was carried out by community health workers (CHWs) in 2019 to screen pregnant women across rural Chhattisgarh.
methodsThis is a cross-sectional study. Malaria was tested in pregnant women by CHWs using bivalent rapid tests. Multi-stage sampling was used to cover 21,572 pregnant women screened across different geographical areas of rural Chhattisgarh. Cross-tabulation and multivariate regression were used to find out the relationship of 'MiP' with different symptoms and geographical areas. GIS maps were used to compare malaria in pregnant women against overall febrile population.
resultsIn rural Chhattisgarh, malaria was present in 0.81% of the pregnant women at the time of testing. 'MiP' prevalence varied across geographies, reaching 4.48% in the geographical division with highest burden. Febrile pregnant women had three times greater malaria-positivity than overall febrile population and both showed a similar geographical pattern. DISCUSSION: Prevalence of 'MiP' was found to be less than earlier studies in the state. Though overall malaria in India has shown some decline, a policy response is needed for 'MiP' in high-burden areas. Fever, diarrhoea and jaundice remain relevant symptoms in 'MiP', but around one fourth of malaria-positive pregnant-women were afebrile, suggesting the need for strategies to address it.
conclusionThe current study based on a large sample provides fresh evidence on 'MiP' in India. It used CHWs as skilled providers for large-scale screening for malaria. In high-burden areas, intermittent screening and treatment (IST) of all pregnant women can be a useful strategy in order to address 'MiP'. Pregnant women can be considered as a pertinent sentinel population for malaria. The global and national policies need to evolve concrete strategies for addressing malaria in pregnancy.
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