Data on malaria in pregnancy in unstable transmission areas are scarce. We investigated malaria in pregnancy at Byumba District Hospital, Rwanda, over 3 years (January 1997–December 1999). Byumba, at an altitude of 2300 m, has low levels of malaria transmission. A malaria epidemic in February 1998 led to a fourfold increase in malaria admissions among pregnant women and to a fivefold increase in maternal deaths because of malaria. Safe Motherhood programmes should note that even in non-epidemic years malaria can cause a large proportion of maternal deaths, and that national and international responses to malaria in pregnancy need strengthening.
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Document Type: Research Article
German Technical Cooperation GTZ, Basic Health Project West Bengal, India,
DFID Maternal Health Programme, London School of Hygiene and Tropical Medicine, London, UK,
DFID Malaria Programme, London School of Hygiene and Tropical Medicine, London, UK
Publication date: 2002-07-01