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High burden of malaria and anemia among tribal pregnant women in a chronic conflict corridor in India.

Corrêa G, Das M, Kovelamudi R, Jaladi N, Pignon C, Vysyaraju K, Yedla U, Laxmi V, Vemula P, Gowthami V, Sharma H, Remartinez D, Kalon S, de Polnay K, De Smet M, Isaakidis P

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  • Journal Conflict and health

  • Published 20 Jun 2017

  • Volume 11

  • Pagination 10

  • DOI 10.1186/s13031-017-0113-1

Abstract

With more than 200 million cases a year, malaria is an important global health concern, especially among pregnant women. The forested tribal areas of Andhra Pradesh, Telangana and Chhattisgarh in India are affected by malaria and by an on-going chronic conflict which seriously limits access to health care. The burden of malaria and anemia among pregnant women in these areas is unknown; moreover there are no specific recommendations for pregnant women in the Indian national malaria policy. The aim of this study is to measure the burden of malaria and anemia among pregnant women presenting in mobile clinics for antenatal care in a conflict-affected corridor in India.

This is a descriptive study of routine programme data of women presenting at first visit for antenatal care in Médecins sans Frontières mobile clinics during 1 year (2015). Burden of malaria and anemia were estimated using rapid diagnostic tests (SD BIOLINE® and HemoCue® respectively).

 < 0.01).

Systematic screening for malaria and anemia should be integrated into maternal and child health services for conflict affected populations in highly endemic tribal areas. Interventions should include the use of rapid diagnostic test for all pregnant women at every visit, regardless of symptoms. Further studies should evaluate the impact of this intervention alone or in combination with intermittent malaria preventive treatment.