Evidence map›Paper›PMID 34488770›Full record

ArticleMalaria journal2021

Risk factors for Plasmodium falciparum infection in pregnant women in Burkina Faso: a community-based cross-sectional survey.

Jean Baptiste Yaro, Alphonse Ouedraogo, Amidou Diarra, Salif Sombié, Z Amidou Ouedraogo, Issa Nébié, Chris Drakeley, Sodiomon B Sirima, Alfred B Tiono, Steven W Lindsay and 1 more

Open access · goldAbstract read
In one paragraph

Article in Malaria journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

10 citing papers in PubMed, 17 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

11 authors at 5 institutions in 2 countries.

Jean Baptiste YaroCentre National de Recherche et de Formation sur le Paludisme, Ouagadougou, Burkina Faso.
Alphonse OuedraogoCentre National de Recherche et de Formation sur le Paludisme, Ouagadougou, Burkina Faso.
Amidou DiarraGroupe de Recherche et d'Action en Santé, Ouagadougou, Burkina Faso.
Salif SombiéCentre National de Recherche et de Formation sur le Paludisme, Ouagadougou, Burkina Faso.
Z Amidou OuedraogoCentre National de Recherche et de Formation sur le Paludisme, Ouagadougou, Burkina Faso.
Issa NébiéGroupe de Recherche et d'Action en Santé, Ouagadougou, Burkina Faso.
Chris DrakeleyLondon School of Hygiene and Tropical Medicine, London, UK.
Sodiomon B SirimaGroupe de Recherche et d'Action en Santé, Ouagadougou, Burkina Faso.
Alfred B TionoCentre National de Recherche et de Formation sur le Paludisme, Ouagadougou, Burkina Faso.
Steven W LindsayDepartment of Biosciences, Durham University, Durham, UK.
Anne L WilsonDepartment of Vector Biology, Liverpool School of Tropical Medicine, Liverpool, UK. anne.wilson@lstmed.ac.uk.ORCID http://orcid.org/0000-0003-2855-4198
Centre National de Recherche et de Formation sur le Paludisme · BFGroupe de Recherche et d’Action sur le Foncier · BFDurham University · GBLiverpool School of Tropical Medicine · GBLondon School of Hygiene & Tropical Medicine · GB

Funding

Medical Research Council MR/P02016X/1Wellcome TrustWellcome Trust 200222/Z/15/Z
6 · The paper itself

Abstract

backgroundMalaria in pregnancy remains a public health problem in sub-Saharan Africa. Identifying risk factors for malaria in pregnancy could assist in developing interventions to reduce the risk of malaria in Burkina Faso and other countries in the region.

methodsTwo cross-sectional surveys were carried out to measure Plasmodium falciparum infection using microscopy in pregnant women in Saponé Health District, central Burkina Faso. Data were collected on individual, household and environmental variables and their association with P. falciparum infection assessed using multivariable analysis.

resultsA total of 356 pregnant women were enrolled in the surveys, 174 during the dry season and 182 during the wet season. The mean number of doses of sulfadoxine-pyrimethamine for Intermittent Preventive Treatment in pregnancy (IPTp-SP) was 0.4 doses during the first trimester, 1.1 doses at the second and 2.3 doses at the third. Overall prevalence of P. falciparum infection by microscopy was 15.7%; 17.8% in the dry season and 13.7% in the wet season. 88.2% of pregnant women reported sleeping under an insecticide-treated net (ITN) on the previous night. The odds of P. falciparum infection was 65% lower in women who reported using an ITN compared to those that did not use an ITN (Odds ratio, OR = 0.35, 95% CI 0.14-0.86, p = 0.02). IPTp-SP was also associated with reduced P. falciparum infection, with each additional dose of IPTp-SP reducing the odds of infection by 44% (OR = 0.56, 95% CI 0.39-0.79, p = 0.001). Literate women had a 2.54 times higher odds of P. falciparum infection compared to illiterate women (95% CI 1.31-4.91, p = 0.006).

conclusionsThe prevalence of P. falciparum infection among pregnant women remains high in Burkina Faso, although use of IPTp-SP and ITNs were found to reduce the odds of infection. Despite this, compliance with IPTp-SP remains far from that recommended by the National Malaria Control Programme and World Health Organization. Behaviour change communication should be strengthened to encourage compliance with protective malaria control tools during pregnancy.

Indexed as

Pregnant PeopleAdolescentAdultAntimalarialsBurkina FasoCross-Sectional StudiesDrug CombinationsFemaleHumansMalaria, FalciparumPlasmodium falciparumPregnancyPregnancy Complications, ParasiticPrevalencePyrimethamineRisk FactorsAntimalarialsDrug Combinationsfanasil, pyrimethamine drug combinationPyrimethamineSulfadoxine

Identifiers

PMID34488770
PMCPMC8422625
OpenAlexW3139065650

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.