Comparative Analysis of Asymptomatic Malaria Parasitaemia in Human Immunodeficiency Virus Positive and Negative Pregnant Women in Sagamu, Ogun State, South West Nigeria
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
BACKGROUND: Malaria parasitaemia among pregnant women is associated with complications to the mother and the unborn fetus. Human Immunodeficiency Virus (HIV) infection is known to increase the prevalence of malaria parasitaemia. This study aims to determine and compare the prevalence of asymptomatic malaria parasitaemia and the degree of anaemia in matched HIV-positive and HIV-negative pregnant women. METHODS: This was a cross-sectional study of asymptomatic malaria parasitaemia among HIV-positive pregnant 300 women attending the booking clinic. HIV-negative women (300) served as control. The prevalence, density of malaria parasite and degree of anaemia were compared in the two groups. CD4 + count was done for the HIV-positive participants. RESULTS: The prevalence of asymptomatic malaria parasitaemia among HIV- positive pregnant women was found to be 77.0% compared with 31.0% among HIV-negative pregnant women. The prevalence of asymptomatic malaria parasitaemia was found to be higher among younger pregnant women, women with low parity, and among HIV-positive with lower CD4 + count. The prevalence of anaemia was found to be 70% among the HIV-positive pregnant women compared to the 20% found among the HIV-negative pregnant women (p = 0.000). The degree of anaemia increased as the density of malaria parasitaemia increases and as the CD4 + cell count decreased (p = 0.000). CONCLUSION: There is higher prevalence of asymptomatic malaria parasitaemia and anaemia among HIV positive pregnant women compared with their negative counterparts. There is a need for enforcement of preventive strategy and supplementations to reduce the burden of malaria parasitaemia in pregnancy.
Authors and Affiliations
Gbenga Victor Nathaniel, Olusoji Edward Jagun, Okanlanwon Lawrence Odusoga
Keywords
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- EP ID EP373503
- DOI 10.9790/0853-1704155965.
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