The Presence of Malaria Infection among Pregnant Women: Insights from Jinja Regional Referral Hospital

Nasuna Sumayia
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Abstract

Malaria, transmitted by female Anopheles mosquitoes and caused by plasmodium, manifests in symptoms like fever, chills, vomiting, and anemia, posing heightened risks to pregnant women and young children. This study investigated malaria prevalence and contributing factors among pregnant women attending antenatal clinics at Jinja Regional Referral Hospital from January to June 2019, employing a retrospective cross-sectional approach utilizing existing records. Throughout the study period, the prevalence of malaria infection remained consistently low at 20%. Socioeconomic status emerged as a significant factor affecting malaria treatment, with lower economic standing correlating with higher incidence. While 80% of participants exhibited knowledge about malaria-related complications and preventive measures such as using insecticide-treated mosquito nets and eliminating stagnant water, 20% lacked this crucial awareness. Notably, a disparity was observed in malaria cases between well-educated and less educated attendees at the health unit, with fewer instances among the more educated individuals. Maternal complications primarily centered around anemia, while occurrences of low birth weight and stillbirth were relatively uncommon, attributed to prompt diagnosis and treatment. The study highlighted fluctuating malaria prevalence, indicating the need for extensive awareness campaigns, particularly concerning intermittent preventive treatment during pregnancy (IPT1 and IPT2). Collaborative efforts involving the community, government, hospitals, and even spouses are crucial to disseminate crucial information. Encouraging the consistent use of insecticide-treated mosquito nets during pregnancy should be emphasized, although this aspect wasn't specifically addressed in the study. Keywords: Malaria infection, Maternal mortality, Pregnant women, Antenatal care.
孕妇感染疟疾的情况:金贾地区转诊医院的启示
疟疾由疟原虫引起,由雌性按蚊传播,表现为发烧、寒战、呕吐和贫血等症状,给孕妇和幼儿带来了更大的风险。本研究采用回顾性横断面方法,利用现有记录,调查了2019年1月至6月期间在金贾地区转诊医院产前门诊就诊的孕妇中疟疾流行情况和诱因。在整个研究期间,疟疾感染率始终保持在 20% 的低水平。社会经济地位是影响疟疾治疗的一个重要因素,经济地位越低,发病率越高。80%的参与者对疟疾相关并发症和预防措施(如使用驱虫蚊帐和清除积水)有所了解,但也有 20% 的人缺乏这一重要意识。值得注意的是,在医疗机构中,受过良好教育和受教育程度较低的参与者在疟疾病例上存在差异,受教育程度较高的人疟疾病例较少。孕产妇并发症主要集中在贫血方面,而出生体重不足和死胎的情况则相对少见,这要归功于及时的诊断和治疗。这项研究强调了疟疾流行率的波动性,表明有必要开展广泛的宣传活动,尤其是关于孕期间歇预防性治疗(IPT1 和 IPT2)的宣传活动。社区、政府、医院甚至配偶的共同努力对于传播重要信息至关重要。鼓励孕妇在怀孕期间坚持使用驱虫蚊帐也应得到重视,尽管这项研究并没有具体涉及这方面的内容。关键词疟疾感染 孕产妇死亡率 孕妇 产前护理
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