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REDUCTION OF MALARIA DURING PREGNANCY BY PERMETHRIN-TREATED BED NETS IN AN AREA OF INTENSE PERENNIAL MALARIA TRANSMISSION IN WESTERN KENYA
Abstract
The impact of insecticide (permethrin)-treated bed nets (ITNs) on malaria in pregnancy was studied in a rural area in western Kenya with intense perennial malaria transmission. All households in 40 of 79 villages were randomized to receive ITNs by January 1997. The ITNs were distributed in control villages two years later. Complete data on birth outcome were available on 2,754 (89.6%) of 3,072 deliveries. Women (n = 780) were followed monthly throughout pregnancy in 19 of 79 villages. Among gravidae 1–4, ITNs were associated with reductions of 38% (95% confidence interval [CI] = 17–54%) in the incidence of malaria parasitemia and 47% (95% CI = 6–71%) in the incidence of severe malarial anemia (hemoglobin level < 8 g/dL with parasitemia) during pregnancy. At the time of delivery, mean hemoglobin levels were 0.6 g/dL (95% CI = 0.01–1.2 g/dL) higher, the prevalence of placental or maternal malaria was reduced by 35% (95% CI = 20–47%), and the prevalence of low birth weight was reduced by 28% (95% CI = 2–47%) in gravidae 1–4 from ITN villages. No beneficial impact was observed in gravidae five or higher. In areas of intense perennial malaria transmission, permethrin-treated bed nets reduce the adverse effect of malaria during the first four pregnancies.
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“ITNs have been shown to reduce malaria infection and adverse pregnancy outcomes by 28–47%.”
From Malaria in pregnancy. (2013) · cites this paper as [97]
In the citing paper
“in pregnant women, it has been associated with a decrease in maternal parasitaemia (38%), anaemia (41%) and LBW (28%),97 and 47% reduction in maternal anaemia.98”
From Malaria in pregnancy. (2013) · cites this paper as [97]
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Metadata
- Authors
- TER KUILE, F. O., TERLOUW, D. J., PHILLIPS-HOWARD, P. A., HAWLEY, W. A., FRIEDMAN, J. F., KARIUKI, S. K., SHI, Y. P., KOLCZAK, M. S., LAL, A. A., VULULE, J. M., & NAHLEN, B. L.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; Centre for Vector Biology and Control Research, Kenya Medical Research Institute, Kisumu, Kenya; Department of Infectious Diseases, Tropical Medicine & AIDS, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands; Roll Back Malaria, World Health Organization, Geneva, Switzerland
- ORCID
- Venue
- The American Journal of Tropical Medicine and Hygiene
- Published
- 2003-04
- Volume
- 68
- Issue
- 4_suppl
- Pages
- 50-60
- ISSN
- 0002-9637 (ISSN-L)
- OpenAlex
- W2128294336
- Cited by
- 204
- References
- 50
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 2 · 2023: 6 · 2022: 6 · 2021: 9 · 2020: 6 · 2019: 5 · 2018: 3 · 2017: 8 · 2016: 8 · 2015: 9 · 2014: 11 · 2013: 7 · 2012: 9
- FWCI
- 14.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Tropical Medicine and Hygiene (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Malaria Research and Control
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- malaria in pregnancy, insecticide-treated nets, severe malarial anemia, placental malaria, maternal malaria, low birth weight, malaria parasitaemia, hemoglobin levels, Western Kenya
- MeSH terms
- Adult, Antimalarials, Bedding and Linens, Female, Humans, Infant, Newborn, Insecticides, Kenya, Pregnancy, Cohort Studies, Pregnancy Complications, Parasitic, Multivariate Analysis, Malaria, Falciparum, Infectious Disease Transmission, Vertical, Parasitemia, Permethrin
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