Journal
AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE
Volume 88, Issue 2, Pages 292-300Publisher
AMER SOC TROP MED & HYGIENE
DOI: 10.4269/ajtmh.12-0195
Keywords
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Funding
- Malaria in Pregnancy (MiP) Consortium
- Bill and Melinda Gates Foundation
- European and Developing Countries Clinical Trials Partnership [EDCTP-IP.07.31080.002]
- Institut de Recherche pour le Developpement (IRD)
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We investigated the effectiveness of routine preventive measures for anemia in Beninese pregnant women during pregnancy. Anemia (hemoglobin < 110 g/L) was common: 68.3% at first antenatal visit (ANV1), 64.7% at second antenatal visit (ANV2), and 40.6% at delivery. Parasitic infections and nutritional deficiencies were the most preventable causes. After intermittent preventive treatment (IPTp) and antihelminthic treatments, malaria prevalence decreased from 15.1% (ANV1) to 4.0% (ANV2) and increased again to 9.6% at delivery. Helminth infections dropped from 11.1% (ANV1) to 7.2% (ANV2) and 2.4% at delivery. Malaria was associated with lower mean hemoglobin on ANV1 and delivery, and iron deficiency was associated with lower mean hemoglobin on ANV1 and ANV2. IPTp and antihelminthic treatments were efficacious to clear parasitic infections and improve hematologic status, whereas the effectiveness of daily iron and folic acid supplements to correct iron and folate deficiencies and decrease anemia was less marked, possibly because of lack of compliance.
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