Annals of Tropical Medicine and Public Health
Home About us Ahead Of Print Instructions Submission Subscribe Advertise Contact e-Alerts Editorial Board Login 
Users Online:354
  Print this page  Email this page Small font sizeDefault font sizeIncrease font size
Year : 2013  |  Volume : 6  |  Issue : 6  |  Page : 603-607

Field utilization patterns of insecticide-treated net and intermittent preventive treatment with sulphadoxine-pyrimethamine in a resource poor endemic area: Patterns' associations with adverse mother or birth outcomes

1 National Biomedical Research Institute, Kinshasa, Gombe, USA
2 Department of Health Science, National Pedagogic University, Kinshasa I; Population Services International, Washington, DC 20036; National Malaria Control Program (PNLP), H˘pital de la Rive, Ngaliema, Kinshasa, USA
3 National Malaria Control Program (PNLP), H˘pital de la Rive, Ngaliema, Kinshasa, USA
4 University School of Medical Technology (ISTM), Kinshasa XI, DRC, USA

Correspondence Address:
Jose Gaby Tshikuka Mulumba
Department of Health Science, National Pedagogic University, P. O. Box: 8815, Kinshasa I, DRC
Login to access the Email id

Source of Support: DGIS-ITG Raamakkord, Belgian Cooperation., Conflict of Interest: None

DOI: 10.4103/1755-6783.140207

Rights and Permissions

Objective: (i) Highlight field realities on proportions of parturient mothers who use during pregnancy intermittent preventive treatment-sulfadoxine-pyrimethamin (IPT-SP) without insecticide-treated net (ITN), IPT-SP in combination with ITN or ITN without IPT-SP; (ii) investigate associations existing between these preventive approaches with low prevalence of peripheral parasitemia, placental malaria, low birth weight (LBW) and anemia. Materials and Methods: Proportions of parturient mothers who utilize any of these approaches during pregnancy were estimated as well as associated rates of peripheral parasitemia, placental malaria, anemia and LBW; associations were investigated by comparing each group with participants who never utilized IPT-SP or ITN during pregnancy. Results and Conclusions: Of the 705 participants, 121 (17.2%) never used IPT-SP or ITN during pregnancy; 83 (11.8%) utilized ITN without IPT-SP and 501 (71.0%) utilized IPT-SP of those, 97% used IPT-SP1 and 3% used IPT-SP2/SP3. 275 (39%) used IPT-SP without ITN and 226 (32%) used IPT-SP in combination with ITN. While significant associations were found between: (i) Combined utilization of IPT-SP with ITN and low prevalence of peripheral parasitemia, placental malaria and LBW, (ii) utilization of IPT-SP without ITN and low prevalence of LBW and (iii) utilization of ITN without IPT-SP and low prevalence of placental malaria, no associations were seen between any of these approaches and low prevalence of anemia. Neither IPT nor ITN alone reduced as much adverse outcomes as when used together in combination, suggesting that in areas of moderate or high transmission of malaria, combined utilization of IPT-SP1/SP2 with ITN was the most effective approach for malaria prevention in pregnancy.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded8    
    Comments [Add]    

Recommend this journal