ArticleNature communications2023
Detecting temporal and spatial malaria patterns from first antenatal care visits.
Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 16 citations in OpenAlex.
- Beyond national household surveys: routine and alternative approaches to sustain robust evidence-based decision making.Malaria journal · 2026Review
- Observational
- Mapping inequity: spatial clustering of malaria in pregnancy in the Amhara region, Northwest Ethiopia (2018-2024).BMC infectious diseases · 2026Article
- Spatial distribution and associated factors of public healthcare infrastructure in tourism-oriented environments: evidence from Southwest China in the context of residential tourism.Frontiers in public health · 2026Article
- Accelerated Development of Vapor Deposition Technology for Efficient Perovskite Solar Cells via Accurate and Practical Machine Learning Tools.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025Article
- Antenatal care surveillance for monitoring malaria prevalence and intervention coverage: a multicountry analysis.BMJ global health · 2025Article
- Spatial variation and multilevel determinants of malaria infection among pregnant women in Sub-Saharan Africa: using malaria indicator surveys.BMC infectious diseases · 2025Article
- Observational
- Genomic malaria surveillance of antenatal care users detects reduced transmission following elimination interventions in Mozambique.Nature communications · 2024Article
- Genomic malaria surveillance of antenatal care users detects reduced transmission following elimination interventions in Mozambique.Research square · 2023Article
- Assessing the utility of pregnant women as a sentinel surveillance population for malaria in Geita, Tanzania, 2019 - 2021.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2023Article
- Sampling for malaria molecular surveillance.Trends in parasitology · 2023Review
- Detecting temporal and spatial malaria patterns from first antenatal care visits.Nature communications · 2023Article
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Authors and funding
28 authors at 7 institutions in 5 countries.
Funding
Abstract
Pregnant women attending first antenatal care (ANC) visits represent a promising malaria surveillance target in Sub-Saharan Africa. We assessed the spatio-temporal relationship between malaria trends at ANC (n = 6471) and in children in the community (n = 3933) and at health facilities (n = 15,467) in southern Mozambique (2016-2019). ANC P. falciparum rates detected by quantitative polymerase chain reaction mirrored rates in children, regardless of gravidity and HIV status (Pearson correlation coefficient [PCC] > 0.8, χ²<1.1), with a 2-3 months lag. Only at rapid diagnostic test detection limits at moderate-to-high transmission, did multigravidae show lower rates than children (PCC = 0.61, 95%CI[-0.12-0.94]). Seroprevalence against the pregnancy-specific antigen VAR2CSA reflected declining malaria trends (PCC = 0.74, 95%CI[0.24-0.77]). 60% (9/15) of hotspots detected from health facility data (n = 6662) using a novel hotspot detector, EpiFRIenDs, were also identified with ANC data (n = 3616). Taken together, we show that ANC-based malaria surveillance offers contemporary information on temporal trends and geographic distribution of malaria burden in the community.
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