Calvin B Ebai, Flore N Ngoufo, Rene N Teh, Jerline T S Kodjo, Eminline J Muyang, Helen K Kimbi
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Data were analysed using Statistical Package for Social Sciences (SPSS), version 22.0.</p><p><strong>Results: </strong>Out of the 314 participants, 46 (14.6%) were positive for malaria parasitaemia, and the only species identified was <i>Plasmodium falciparum</i>. A multinomial regression model showed that the presence of bushes around houses (odds ratio [OR] = 2.40, <i>p</i> = 0.03) exposes individuals to malaria parasite infection, while the presence of a ceiling (OR = 0.20, <i>p</i> < 0.01), taking intermittent preventive treatment for pregnant women (IPTp) (OR = 0.23, <i>p</i> < 0.01) and having window screens (OR = 0.14, <i>p</i> = 0.01) were protective. Geometric mean parasite density (GMPD) was highest among pregnant women in the second trimester (2190/<i>µ</i>L, <i>F</i> = 61.3, <i>p</i> = 0.016), those with more than three gravidities (1022/<i>µ</i>L, <i>F</i> = 66.28, <i>p</i> = 0.009), those who presented with sweating (1946/<i>µ</i>L, <i>F</i> = 272, <i>p</i> = 0.004) and, unexpectedly, those who were using long-lasting insecticide-treated bed nets (1536/<i>µ</i>L; <i>F</i> = 3.32, <i>p</i> < 0.001), compared with their corresponding counterparts.</p><p><strong>Conclusion: </strong>The prevalence and density of malaria parasite varied with demographics, pregnancy characteristics, clinical manifestations, quality of housing, environmental conditions and malaria prevention methods.</p><p><strong>Contribution: </strong>An update on malaria among pregnant women. Continuous sensitisation on prevention methods is necessary.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"16 1","pages":"1437"},"PeriodicalIF":0.8000,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12421459/pdf/","citationCount":"0","resultStr":"{\"title\":\"Epidemiology of malaria in pregnant women attending antenatal consultation in Dschang, West Cameroon.\",\"authors\":\"Calvin B Ebai, Flore N Ngoufo, Rene N Teh, Jerline T S Kodjo, Eminline J Muyang, Helen K Kimbi\",\"doi\":\"10.4102/jphia.v16i1.1437\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Despite measures, malaria in pregnancy is still reported. It results in maternal illness, anaemia, low birth weight, preterm delivery and both maternal and foetal death.</p><p><strong>Aim: </strong>To determine the prevalence and density of malaria parasitaemia and identify the associated factors among pregnant women.</p><p><strong>Setting: </strong>This was a hospital-based study in two health facilities in Dschang, Western Cameroon.</p><p><strong>Methods: </strong>A cross-sectional study was conducted. A questionnaire was used to collect data on socio-demographics clinical manifestations, environmental factors and prevention measures used. Parasitological tests were carried out using thick and thin blood smears. Data were analysed using Statistical Package for Social Sciences (SPSS), version 22.0.</p><p><strong>Results: </strong>Out of the 314 participants, 46 (14.6%) were positive for malaria parasitaemia, and the only species identified was <i>Plasmodium falciparum</i>. A multinomial regression model showed that the presence of bushes around houses (odds ratio [OR] = 2.40, <i>p</i> = 0.03) exposes individuals to malaria parasite infection, while the presence of a ceiling (OR = 0.20, <i>p</i> < 0.01), taking intermittent preventive treatment for pregnant women (IPTp) (OR = 0.23, <i>p</i> < 0.01) and having window screens (OR = 0.14, <i>p</i> = 0.01) were protective. 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引用次数: 0
摘要
背景：尽管采取了措施，妊娠期疟疾仍有报道。它导致产妇疾病、贫血、出生体重过低、早产以及产妇和胎儿死亡。目的：了解孕妇疟疾寄生虫病流行情况、密度及相关因素。环境：这是一项以医院为基础的研究，在喀麦隆西部Dschang的两家卫生机构进行。方法：采用横断面研究。通过问卷调查收集社会人口统计学、临床表现、环境因素和预防措施的数据。采用厚血涂片和薄血涂片进行寄生虫学试验。数据分析使用社会科学统计软件包（SPSS），版本22.0。结果：在314名参与者中，46人（14.6%）疟疾寄生虫血症阳性，唯一确定的物种是恶性疟原虫。多项回归模型显示，房屋周围存在灌木（比值比[OR] = 2.40, p = 0.03）使个体暴露于疟原虫感染，而存在天花板（OR = 0.20, p < 0.01）、孕妇间歇预防治疗（OR = 0.23, p < 0.01）和纱窗（OR = 0.14, p = 0.01）对个体具有保护作用。孕中期孕妇的几何平均寄生虫密度（GMPD）最高（2190/µL, F = 61.3, p = 0.016），超过三个重力的孕妇（1022/µL, F = 66.28, p = 0.009），出汗的孕妇（1946/µL, F = 272, p = 0.004），出乎意料的是，使用长效驱虫蚊帐的孕妇（1536/µL, F = 3.32, p < 0.001）。结论：人口统计学、妊娠特征、临床表现、住房质量、环境条件、疟疾防治方法等因素影响了疟原虫的流行和密度。贡献：关于孕妇疟疾的最新情况。对预防方法的持续宣传是必要的。
Epidemiology of malaria in pregnant women attending antenatal consultation in Dschang, West Cameroon.
Background: Despite measures, malaria in pregnancy is still reported. It results in maternal illness, anaemia, low birth weight, preterm delivery and both maternal and foetal death.
Aim: To determine the prevalence and density of malaria parasitaemia and identify the associated factors among pregnant women.
Setting: This was a hospital-based study in two health facilities in Dschang, Western Cameroon.
Methods: A cross-sectional study was conducted. A questionnaire was used to collect data on socio-demographics clinical manifestations, environmental factors and prevention measures used. Parasitological tests were carried out using thick and thin blood smears. Data were analysed using Statistical Package for Social Sciences (SPSS), version 22.0.
Results: Out of the 314 participants, 46 (14.6%) were positive for malaria parasitaemia, and the only species identified was Plasmodium falciparum. A multinomial regression model showed that the presence of bushes around houses (odds ratio [OR] = 2.40, p = 0.03) exposes individuals to malaria parasite infection, while the presence of a ceiling (OR = 0.20, p < 0.01), taking intermittent preventive treatment for pregnant women (IPTp) (OR = 0.23, p < 0.01) and having window screens (OR = 0.14, p = 0.01) were protective. Geometric mean parasite density (GMPD) was highest among pregnant women in the second trimester (2190/µL, F = 61.3, p = 0.016), those with more than three gravidities (1022/µL, F = 66.28, p = 0.009), those who presented with sweating (1946/µL, F = 272, p = 0.004) and, unexpectedly, those who were using long-lasting insecticide-treated bed nets (1536/µL; F = 3.32, p < 0.001), compared with their corresponding counterparts.
Conclusion: The prevalence and density of malaria parasite varied with demographics, pregnancy characteristics, clinical manifestations, quality of housing, environmental conditions and malaria prevention methods.
Contribution: An update on malaria among pregnant women. Continuous sensitisation on prevention methods is necessary.
期刊介绍：
The Journal of Public Health in Africa (JPHiA) is a peer-reviewed, academic journal that focuses on health issues in the African continent. The journal editors seek high quality original articles on public health related issues, reviews, comments and more. The aim of the journal is to move public health discourse from the background to the forefront. The success of Africa’s struggle against disease depends on public health approaches.
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