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Unstable malaria transmission and maternal mortality – experiences from Rwanda

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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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Keywords: malaria; maternal morbidity; maternal mortality; pregnancy; unstable transmission

Document Type: Research Article

Affiliations: 1: German Technical Cooperation GTZ, Basic Health Project West Bengal, India, 2: DFID Maternal Health Programme, London School of Hygiene and Tropical Medicine, London, UK, 3: DFID Malaria Programme, London School of Hygiene and Tropical Medicine, London, UK

Publication date: July 1, 2002

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