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Malaria infection among pregnant women attending antenatal clinics in six Rwandan districts

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dc.contributor.author Van Geertruyden, J. P. en_US
dc.contributor.author Ntakirutimana, D. en_US
dc.contributor.author Erhart, A. en_US
dc.contributor.author Rwagacondo, C. en_US
dc.contributor.author Kabano, A. en_US
dc.contributor.author D'Alessandro, U. en_US
dc.date.accessioned 2007-12-06T14:34:28Z
dc.date.available 2007-12-06T14:34:28Z
dc.date.issued 2005 en_US
dc.identifier.issn 1360-2276 en_US
dc.identifier.doi http://dx.doi.org/10.1111/j.1365-3156.2005.01431.x
dc.identifier.other ITG-P1A en_US
dc.identifier.other ITG-P3A en_US
dc.identifier.other ITG-PLA en_US
dc.identifier.other PARAS en_US
dc.identifier.other U-MALAR en_US
dc.identifier.other DOI en_US
dc.identifier.other FTB en_US
dc.identifier.other ABSTRACT en_US
dc.identifier.other JIF en_US
dc.identifier.uri http://hdl.handle.net/10390/336
dc.description The definitive version is available at www3.interscience.wiley.com
dc.description.abstract Objectives The aim of the study was to assess the knowledge, attitude and practices of pregnant women towards malaria and their association with malaria morbidity. Methods Cross-sectional malaria survey of 1432 pregnant women attending six health centres, each of them situated in a specific health district in Rwanda from September to October 2002. Results The overall prevalence of malaria infection was 13.6% and all infections but two were caused by Plasmodium falciparum. The six health districts were significantly different in terms of malaria prevalence, which varied between 11.5% and 15.4% in four and was <5% in the other two districts. The prevalence of anaemia and splenomegaly mirrored that of malaria infection. In three districts, the prevalence of infection was significantly higher in primigravidae than in secundigravidae and multigravidae (P = 0.01), while in two others it did not vary with parity. Bed net use was low – only 13.1% of the women had at least one bed net at home and 8.3% of them slept under it – and significantly different between districts. Most women knew that malaria might have serious consequences for their pregnancy and that insecticide-treated bed nets are useful for malaria prevention. However, the bed net market price [1525 Rwandan Francs (RFr), approximately 1.6€] was much higher than that considered as affordable and acceptable (389 RFr, approximately 0.3€). Conclusion Malaria in pregnancy is a major problem in Rwanda, even in the districts of low transmission. Bed net use among pregnant women is low. The option of providing free insecticide-treated bed nets to pregnant women should be explored and possibly implemented; it could rapidly increase bed net use and earlier attendance to antenatal clinics with clear benefits for the women's health. en_US
dc.language English en_US
dc.publisher Blackwell Publishing
dc.subject Protozoal diseases en_US
dc.subject Malaria en_US
dc.subject Pregnancy en_US
dc.subject Knowledge en_US
dc.subject Attitudes en_US
dc.subject Practices en_US
dc.subject KAP en_US
dc.subject Anemia en_US
dc.subject Bednets en_US
dc.subject Utilization en_US
dc.subject Prices en_US
dc.subject Surveys en_US
dc.subject Rwanda en_US
dc.subject Africa, Central en_US
dc.title Malaria infection among pregnant women attending antenatal clinics in six Rwandan districts en_US
dc.type Article en_US
dc.citation.issue 7 en_US
dc.citation.jtitle Tropical Medicine and International Health en_US
dc.citation.volume 10 en_US
dc.citation.pages 681-688 en_US
dc.publisher.place Oxford
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/15960707
dc.citation.jabbreviation Trop Med Int Health en_US


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