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Intermittent preventive therapy in pregnancy and incidence of low birth weight in malaria-endemic countries

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Authors:
  • Cates, Jordan E. ;
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    University of North Carolina
  • Westreich, Daniel ;
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    University of North Carolina
  • Unger, Holger W. ;
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    University of Melbourne
  • Bauserman, Melissa ;
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    UNC
  • Adair, Linda ;
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    UNC
  • Cole, Stephen R. ;
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    University of North Carolina
  • Meshnick, Steven ;
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    University of North Carolina
  • Rogerson, Stephen J. ;
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    University of Melbourne
  • Briand, V. ;
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    Paris Descartes University
  • Fievet, N. ;
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    Paris Descartes University
  • Valea, I. ;
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    Institut de Recherche en Sciences de la Santé-DRO
  • Tinto, H. ;
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    Institut de Recherche en Sciences de la Santé-DRO
  • D'Alessandro, U. ;
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    Medical Research Council
  • Landis, S. H. ;
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    GlaxoSmithKline
  • Lartey, A. ;
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    University of Ghana
  • Dewey, K. G. ;
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    University of California, Davis
  • TerKuile, F. O. ;
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    Liverpool School of Tropical Medicine
  • Dellicour, S. ;
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    Liverpool School of Tropical Medicine
  • Van Eijk, A. M. ;
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    Liverpool School of Tropical Medicine
  • Desai, M. ;
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    Centers for Disease Control and Prevention
  • Owidhi, M. ;
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    Kenya Medical Research Institute
  • L'Ianziva, A. ;
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    Kenya Medical Research Institute
  • Aol, G. ;
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    Kenya Medical Research Institute
  • Were, V. ;
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    Kenya Medical Research Institute
  • Kariuki, S. ;
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    Kenya Medical Research Institute
  • Ayisi, J. ;
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    Kenya Medical Research Institute
  • Terlouw, D. J. ;
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    Malawi-Liverpool-Wellcome Trust Clinical Research Programme
  • Madanitsa, M. ;
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    University of Malawi
  • Mwapasa, V. ;
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    University of Malawi
  • Maleta, K. ;
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    University of Malawi
  • Ashorn, P. ;
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    University of Tampere
  • Mueller, I. ;
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    Walter and Eliza Hall Institute of Medical Research
  • Stanisic, D. ;
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    Griffith University
  • Schmiegelow, C. ;
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    Orcid logo0000-0002-9360-9741
    Department of Immunology and Microbiology, Department of Immunology and Microbiology, Faculty of Health and Medical Sciences, Københavns Universitet
  • Lusingu, J. P.A.
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    Centre for Medical Parasitology, Department of Immunology and Microbiology, Faculty of Health and Medical Sciences, Københavns Universitet
DOI:
10.2105/AJPH.2017.304251
Abstract:
Objectives. To estimate the impact of hypothetical antimalarial and nutritional interventions (which reduce the prevalence of low midupper arm circumference [MUAC]) on the incidence of low birth weight (LBW). Methods. We analyzed data from 14 633 pregnancies from 13 studies conducted across Africa and the Western Pacific from 1996 to 2015. We calculated population intervention effects for increasing intermittent preventive therapy in pregnancy (IPTp), full coverage with bed nets, reduction in malaria infection at delivery, and reductions in the prevalence of low MUAC. Results. We estimated that, compared with observed IPTp use, administering 3 or more doses of IPTp to all women would decrease the incidence of LBW from 9.9% to 6.9% (risk difference = 3.0%; 95% confidence interval = 1.7%, 4.0%). The intervention effects for eliminating malaria at delivery, increasing bed net ownership, and decreasing low MUAC prevalence were all modest. Conclusions. Increasing IPTp uptake to at least 3 doses could decrease the incidence of LBW in malaria-endemic countries. The impact of IPTp on LBW was greater than the effect of prevention of malaria, consistent with a nonmalarial effect of IPTp, measurement error, or selection bias.
Type:
Journal article
Language:
English
Published in:
American Journal of Public Health, 2018, Vol 108, Issue 3, p. 399-406
Keywords:
Journal Article
Main Research Area:
Medical science
Publication Status:
Published
Review type:
Peer Review
Submission year:
2018
Scientific Level:
Scientific
ID:
2395625550

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