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dc.contributor.authorGibson Waweru Nyamu
dc.contributor.authorJimmy Hussein Kihara
dc.contributor.authorElvis Omondi Oyugi
dc.contributor.authorVictor Omballa
dc.contributor.authorHajara El-Busaidy
dc.contributor.authorVictor Tunje Jeza
dc.date.accessioned2022-03-29T14:04:48Z
dc.date.available2022-03-29T14:04:48Z
dc.date.issued2020-10-08
dc.identifier.citationNyamu GW, Kihara JH, Oyugi EO, Omballa V, El-Busaidy H, Jeza VT (2020) Prevalence and risk factors associated with asymptomatic Plasmodium falciparum infection and anemia among pregnant women at the first antenatal care visit: A hospital based cross sectional study in Kwale County, Kenya. PLoS ONE 15(10): e0239578. https://doi.org/10.1371/journal. pone.0239578en_US
dc.identifier.urihttps://ir.tum.ac.ke/handle/123456789/17464
dc.description.abstractBackground Prevalence of Prevalence of malaria in pregnancy (MiP) in Kenya ranges from 9% to 18%. We estimated the prevalence and factors associated with MiP and anemia in pregnancy (AiP) among asymptomatic women attending antenatal care (ANC) visits. Methods We performed a cross-sectional study among pregnant women attending ANC at Msambweni Hospital, between September 2018 and February 2019. Data was collected and ana lyzed in Epi Info 7. Descriptive statistics were calculated and we compared MiP and AiP in asymptomatic cases to those without either condition. Adjusted prevalence Odds odds ratios (aPOR) and 95% confidence intervals (CI) were calculated to identify factors associated with asymptomatic MiP and AiP. Results We interviewed 308 study participants; their mean age was 26.6 years (± 5.8 years), mean gestational age was 21.8 weeks (± 6.0 weeks), 173 (56.2%) were in the second trimester of pregnancy, 12.9% (40/308) had MiP and 62.7% had AiP. Women who were aged � 20 years had three times likelihood of developing MiP (aPOR = 3.1 Cl: 1.3–7.35) compared to those aged >20 years old. The likelihood of AiP was higher among women with gestational age � 16 weeks (aPOR = 3.9, CI: 1.96–7.75), those with parasitemia (aPOR = 3.3, 95% CI: 1.31–8.18), those in third trimester of pregnancy (aPOR = 2.6, 95% CI:1.40–4.96) and those who reported eating soil as a craving during pregnancy (aPOR = 1.9, 95%CI:1.15–3.29). Conclusions Majority of the women had asymptomatic MiP and AiP. MiP was observed in one tenth of all study participants. Asymptomatic MiP was associated with younger age while AiP was associated with gestational age parasitemia, and soil consumption as a craving during pregnancyen_US
dc.description.sponsorshipTechnical University of Mombasaen_US
dc.language.isoenen_US
dc.publisherPLOS ONEen_US
dc.subjectAsymptomatic Plasmodium falciparum infectionen_US
dc.subjectPlasmodium falciparumen_US
dc.subjectAnemiaen_US
dc.subjectPregnant womenen_US
dc.subjectAntenatal careen_US
dc.subjectKwaleen_US
dc.titlePrevalence and risk factors associated with asymptomatic Plasmodium falciparum infection and anemia among pregnant women at the first antenatal care visit: A hospital based cross-sectional study in Kwale County, Kenyaen_US
dc.typeArticleen_US


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