[Evaluation of malaria chemoprevention among 359 pregnant women attending a health center in Dakar]

Dakar Med. 1997;42(2):87-90.
[Article in French]

Abstract

The authors carried out an epidemiological survey from october 12 to december 4, 1995, at Medina's mother and Child care centre (MCC) in Dakar in order to assess chemoprophylaxis among pregnant women in Dakar. The midwife/pregnant women ratio is 0.08 The mentioned diagnosis criteria were relevant regards to the references established for most of the answers because since the latter base malaria diagnosis on the following signs: fever, chills, headaches and vomiting. 64.6% of them assume compliance to antimalarial chemoporphylaxis. Education level seems to be the main determining factor in this trend. Although chloroquine is the most widely used drug, nevertheless 11.9% of pregnant women assuming compliance use it at inappropriate posology. Besides, pyrimethamine is used by 12.3% of them. 34% of pregnant women do show chloroquine in urine. The plasmodial index is 1.4%. Only 8.1% of these women are supplied by health centres where shortages are noted.

MeSH terms

  • Adolescent
  • Adult
  • Antimalarials / administration & dosage
  • Antimalarials / therapeutic use*
  • Chemoprevention
  • Chloroquine / administration & dosage
  • Chloroquine / therapeutic use*
  • Female
  • Humans
  • Malaria / epidemiology
  • Malaria / prevention & control*
  • Maternal Health Services / statistics & numerical data
  • Middle Aged
  • Patient Compliance
  • Pregnancy
  • Pregnancy Complications, Parasitic / epidemiology
  • Pregnancy Complications, Parasitic / prevention & control*
  • Prenatal Care
  • Pyrimethamine / administration & dosage
  • Pyrimethamine / therapeutic use*
  • Senegal / epidemiology

Substances

  • Antimalarials
  • Chloroquine
  • Pyrimethamine