Intermittent screening and treatment with dihydroartemisinin-piperaquine for the prevention of malaria in pregnancy: implementation feasibility in a routine healthcare system setting in western Kenya.
Jenny HillPeter OumaSeth OluochJane BruceSimon KariukiMeghna DesaiJayne WebsterPublished in: Malaria journal (2020)
The findings indicate that the systems effectiveness of ANC clinics to deliver ISTp-DP under routine conditions was poor in comparison to IPTp-SP. Several challenges to integration of ISTp with ANC were identified that may need to be considered by countries that have introduced screening at first ANC visit and, potentially, for future adoption of ISTp with more sensitive RDTs. Understanding the effectiveness of ISTp-DP will require additional research on pregnant women's adherence to ACT.
Keyphrases
- pregnant women
- primary care
- randomized controlled trial
- systematic review
- clinical practice
- plasmodium falciparum
- pregnancy outcomes
- south africa
- preterm birth
- current status
- high intensity
- type diabetes
- combination therapy
- skeletal muscle
- metabolic syndrome
- adipose tissue
- weight loss
- replacement therapy
- smoking cessation