Antía Figueroa-Romero, Daniel Bissombolo, Martin Meremikwu, Arsène Ratsimbasoa, Charfudin Sacoor, Iwara Arikpo, Elsha Lemba, Abel Nhama, Rianasoambolanoro Rakotosaona, Mireia Llach, Clara Pons-Duran, Sergi Sanz, Laurence Ma, Cécile Doderer-Lang, Christina Maly, Elaine Roman, Franco Pagnoni, Alfredo Mayor, Didier Menard, Raquel González, Clara Menéndez
BACKGROUND: The effectiveness of community delivery of intermittent preventive treatment (C-IPT) of malaria in pregnancy (IPTp) with sulfadoxine-pyrimethamine has been evaluated in selected areas of the Democratic Republic of the Congo, Madagascar, Mozambique, and Nigeria. We aimed to assess the effect of C-IPTp on the potential development of Plasmodium falciparum resistance to sulfadoxine-pyrimethamine, since it could threaten the effectiveness of this strategy. METHODS: Health facility-based cross-sectional surveys were conducted at baseline and 3 years after C-IPTp implementation in two neighbouring areas per country, one with C-IPTp intervention, and one without, in the four project countries...
November 2023: Lancet Global Health