Malaria and Geohelminthiasis Coinfections in Expectant Women: Effect on Maternal Health and Birth Outcomes in a Malaria Endemic Region in Kenya
Introduction:
Parasitic infections such as malaria and geohelminthiasis are life-threatening as well as the leading cause of mortality in developing countries particularly in risky groups such as children under five years and pregnant women 1. Expectant mothers are more vulnerable to infections because during pregnancy there is a transient depression of cell-mediated immunity that allows foetal allograft retention which on the other hand interferes with resistance to various infectious diseases
Objectives:
Methodology:
A quantitative cross-sectional hospital based study was carried out
Findings:
coinfected mothers were at 4-fold increased risk of anaemia as compared to mothers who had either geohelminths or malaria parasites alone.
Results:
It was also evident that geohelminths and malaria parasite coinfections were associated with various adverse birth outcomes. Compared to those infected with either geohelminths or malaria parasites expectant mothers coinfected with geohelminths and malaria parasites were twice likely to give birth to low birth weight babies 3.7 times likely to have still births 6.8 times likely to have preterm deliveries and 5 times likely to have newborn babies with low chances of survival.
Conclusion:
expectant mothers coinfected with geohelminths and malaria parasites were at an increased risk of high anaemia and adverse birth outcomes. Geohelminthiasis and malaria were prevalent in Bungoma County. We recommend that screening of these infections be incorporated in the antenatal care program to improve maternal and neonatal health.
Publication Information
Author(s):
Focus County(s):
Busia, Bungoma, Kakamega, Vihiga, Kericho, Homabay, Kisii, Nyamira, Migori, Siaya, Kisumu Counties
Programme Area(s):
Infectious and Parasitic Diseases
Research Priority Area(s):
Helminthology
Disease Domain(s):
malaria in pregnancy
Document History:
Publication Date: 29.Nov.2018
Conference Title:
Venue: