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Control measures for malaria in pregnancy in India
M I Brooks1, N Singh, D H Hamer
1Center for International Health & Development, Boston University School of Public Health, 801 Massachusetts Ave, Crosstown Center, 3rd Floor, Boston, Massachusetts 02118, USA. mib@bu.edu
The Indian Journal of Medical Research
|December 5, 2008
Summary
Malaria in pregnancy (MiP) poses significant public health risks in India. Addressing challenges like limited insecticide-treated nets (ITNs) and drug resistance is crucial for effective control programs.
Area of Science:
- Public Health
- Infectious Diseases
- Global Health
Background:
- Malaria in pregnancy (MiP) presents a substantial public health challenge with severe maternal and infant health consequences.
- The World Health Organization (WHO) and Roll Back Malaria (RBM) recommend key interventions including insecticide-treated nets (ITNs), intermittent preventive therapy (IPTp), and case management.
Purpose of the Study:
- To evaluate the current status of malaria in pregnancy (MiP) in India.
- To review existing control measures, programs, and interventions for MiP.
- To identify areas needing improvement for MiP control in India.
Main Methods:
- Review of current malaria control programs and interventions in India.
- Analysis of the availability and effectiveness of specific MiP control measures.
- Identification of challenges hindering MiP control.
Main Results:
- India's national malaria program has limited specific measures for MiP, despite comprehensive general malaria control.
- Integrated malaria control with general health services and indoor residual spraying (IRS) offer some benefit.
- Significant challenges include a lack of ITNs, socio-cultural barriers, antimalarial and insecticide resistance, an incomplete drug policy, and program centralization.
Conclusions:
- Current control strategies for MiP in India are insufficient due to several persistent challenges.
- Addressing the identified issues is essential to effectively reduce the burden of MiP in India.
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