Information Note: Malaria morbidity in pregnant women in Cameroon – less than 50% of pregnant women benefit from intermittent preventive treatment

The high malaria morbidity among pregnant women, about 203 cases per 1000 inhabitants in Cameroon, is a public health problem in the sense that it is associated with risk factors for mortality in both the mother and the newborn. Nearly a quarter of pregnant women have been affected by malaria in the past three years. Both programmatic and surveillance data show that 50% of pregnant women receive three doses of Intermittent Preventive Treatment (IPTg), one of the two key strategies to prevent malaria in pregnancy. The training of multi-purpose Community Health Workers (pCHWs) in the active search for people lost to follow-up and targeted awareness on the precocity of Prenatal Consultations (ANCs) is essential because it could improve the coverage of health services. Indeed, because of the proximity and the relationship of trust between the pCHWs and the population, it would be more obvious to identify the causes of abandonment of IPTg on the one hand. And on the other hand, the dissemination through them of the various awareness-raising messages about early prenatal care and compliance with the different doses of IPTg could have a more significant impact on the target population. This community involvement can promote the prescription of at least three doses of IPTg, thus reducing maternal morbidity due to malaria ranging from serious complications to maternal death, and the risk of infant death (low birth weight, prematurity, etc.).

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