Evidence map›Paper›PMID 33349871›Full record

ArticleInternational journal of epidemiology2021

Coverage of intermittent preventive treatment of malaria in pregnancy in four sub-Saharan countries: findings from household surveys.

Clara Pons-Duran, Mireia Llach, Charfudin Sacoor, Sergi Sanz, Eusebio Macete, Iwara Arikpo, Máximo Ramírez, Martin Meremikwu, Didier Mbombo Ndombe, Susana Méndez and 8 more

Abstract read
In one paragraph

Article in International journal of epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
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

22 citing papers in PubMed.

  1. Prevalence ofPathogens (Basel, Switzerland) · 2026
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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

18 authors.

Clara Pons-DuranISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, Spain.ORCID 0000-0002-9840-7559
Mireia LlachISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, Spain.
Charfudin SacoorCentro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.
Sergi SanzISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, Spain.
Eusebio MaceteCentro de Investigação em Saúde de Manhiça (CISM), Maputo, Mozambique.
Iwara ArikpoCross River Health and Demographic Surveillance System, University of Calabar, Cross River State, Nigeria.
Máximo RamírezISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, Spain.
Martin MeremikwuCross River Health and Demographic Surveillance System, University of Calabar, Cross River State, Nigeria.
Didier Mbombo NdombeBureau d'Étude et de Gestion de l'Information Statistique (BÉGIS), Kinshasa, DRC.
Susana MéndezISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, Spain.
Manu F Manun'EboBureau d'Étude et de Gestion de l'Information Statistique (BÉGIS), Kinshasa, DRC.
Ranto RamananjatoMalagasy Associates for Numerical Information and Statistical Analysis (MANISA), Antananarivo, Madagascar.
Victor R RabezaMalagasy Associates for Numerical Information and Statistical Analysis (MANISA), Antananarivo, Madagascar.
Maya TholandiJhpiego, Affiliate of Johns Hopkins University, Baltimore, MD, USA.
Elaine RomanJhpiego, Affiliate of Johns Hopkins University, Baltimore, MD, USA.
Franco PagnoniISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, Spain.
Raquel GonzálezISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, Spain.
Clara MenéndezISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntermittent preventive treatment in pregnancy (IPTp) with sulphadoxine-pyrimethamine (SP) is a key malaria prevention strategy in areas with moderate to high transmission. As part of the TIPTOP (Transforming IPT for Optimal Pregnancy) project, baseline information about IPTp coverage was collected in eight districts from four sub-Saharan countries: Democratic Republic of Congo (DRC), Madagascar, Mozambique and Nigeria.

methodsCross-sectional household surveys were conducted using a multistage cluster sampling design to estimate the coverage of IPTp and antenatal care attendance. Eligible participants were women of reproductive age who had ended a pregnancy in the 12 months preceding the interview and who had resided in the selected household during at least the past 4 months of pregnancy. Coverage was calculated using percentages and 95% confidence intervals.

resultsA total of 3911 women were interviewed from March to October 2018. Coverage of at least three doses of IPTp (IPTp3+) was 22% and 24% in DRC project districts; 23% and 12% in Madagascar districts; 11% and 16% in Nigeria local government areas; and 63% and 34% in Mozambique districts. In DRC, Madagascar and Nigeria, more than two-thirds of women attending at least four antenatal care visits during pregnancy received less than three doses of IPTp.

conclusionsThe IPTp3+ uptake in the survey districts was far from the universal coverage. However, one of the study districts in Mozambique showed a much higher coverage of IPTp3+ than the other areas, which was also higher than the 2018 average national coverage of 41%. The reasons for the high IPTp3+ coverage in this Mozambican district are unclear and require further study.

Indexed as

AntimalarialsMalariaPregnancy Complications, ParasiticCross-Sectional StudiesDrug CombinationsFemaleHumansInfantMadagascarMozambiqueNigeriaPregnancyPrenatal CarePyrimethamineSulfadoxineAntimalarialsDrug CombinationsPyrimethamineSulfadoxineMalaria controlmaternal healthpregnancysub-Saharan Africa

Identifiers

PMID33349871
PMCPMC8128463

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Registered trials

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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.