Anaemia, malaria burden and its control methods among pregnant women in a semi-urban community of northern Nigeria

Type Journal Article - Journal of Public Health and Epidemiology
Title Anaemia, malaria burden and its control methods among pregnant women in a semi-urban community of northern Nigeria
Author(s)
Volume 3
Issue 7
Publication (Day/Month/Year) 2011
Page numbers 317-323
URL http://www.academicjournals.org/journal/JPHE/article-full-text-pdf/4AEACA71588
Abstract
The study was carried out to ascertain the incidence of malaria parasitaemia and associated anaemia
among pregnant women in a semi-urban community nine years after commencement of roll back
malaria (RBM) initiative. The study was hospital-based among pregnant women attending antenatal
clinic at a central hospital. Structured questionnaires were administered containing relevant
information on age, educational level, number of previous pregnancies and methods used for malaria
control. Thick and thin blood films from capillary blood were stained with Giema’s stain and examined
microscopically for malaria parasites. Packed cell volume (PCV) and blood groups were also carried out
while body temperatures were measured using mercurial thermometers. Ethical clearance and informed
consents were appropriately obtained. Data was analysed using Epi info 6 statistical software. The
incidence of malaria parasitaemia was found to be 308 (42.4%); Plasmodium falciparum and
Plasmodium malariae accounted for 302 (98%) and 6 (2%) of the isolates respectively. Anaemia was
detected in 221 (71.6%) of the subjects with malaria parasites (P< 0.001). The rate of use of insecticide
treated bed nets (ITNs) was 165 (22.7%) with a significantly lower rate of infection (22.2%) among them
compared to other control methods (P< 0.001); there was a corresponding significantly higher rate of
infection 253 (67.1%) among the uneducated compared to the educated (P< 0.001). Malaria is still a
major health problem among pregnant women in Otukpo. Efforts should be intensified towards
provision of insecticide treated bed nets (ITNs) and provision of adequate facilities for formal and
informal adult education.

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