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Malaria Prevention in Pregnancy: When Will the Prevention Programme Respond to the Science

By: Steketee, Richard W. | Journal of Health Population and Nutrition, March 2002 | Article details

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Malaria Prevention in Pregnancy: When Will the Prevention Programme Respond to the Science


Steketee, Richard W., Journal of Health Population and Nutrition


The article by Okoko and colleagues (1) in this issue of the Journal presents an interesting scenario. By its title, the article draws attention to the comparison with seminal work done between 1966 and 1972 when Sir Ian McGregor and colleagues monitored malaria infection at delivery and birth outcomes in more than 6,000 women in urban and rural parts of western Gambia (2). In a much smaller sample of women delivering during the rainy season in eastern Gambia in 1997, Okoko and colleagues observed very similar findings. In essence, nothing has changed in the 30 intervening years.

The article by McGregor and colleagues, in combination with similar reports by others (3), led to …

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