{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T17:54:49Z","timestamp":1787162089380,"version":"build-2736575974"},"reference-count":45,"publisher":"Scientific Scholar","content-domain":{"domain":["nmji.in"],"crossmark-restriction":true},"short-container-title":["NMJI"],"abstract":"<jats:sec id=\"st1\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Malaria in pregnancy (MIP) is a major public health problem due to the vulnerability of pregnant women to infections, resulting in adverse maternal\/foetal outcomes in endemic areas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st2\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We did a field-based study to assess the burden of MIP (prevalence at the time of enrolment and follow-up) and to identify risk factors for MIP in the Birsa and Baihar blocks of district Balaghat in Madhya Pradesh, which have perennial malaria transmission. Malaria screening (during 2015\u20132017) was done by microscopy and bivalent rapid diagnostic test (SD Bioline RDT, malaria antigen\n                      <jats:italic>Plasmodium falciparum\/Plasmodium vivax Pf\/Pv<\/jats:italic>\n                      ). Dried blood spots were used for haemoglobin estimation. Sociodemographic details with past and present pregnancy status were obtained. A subset of pregnant women were followed up for malaria during pregnancy. Women were also screened for malaria post delivery. Malaria treatment was given as per the National Guidelines of 2013. Multivariate analysis was done to assess independent risk factors for malaria.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st3\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 1728 pregnant women were screened, of which 1651 were included in the final analysis. Malaria prevalence at first screening was 23.4% (\n                      <jats:italic>Pf<\/jats:italic>\n                      88%). Prevalence and\n                      <jats:italic>Pf<\/jats:italic>\n                      parasitaemia both were significantly higher among primigravid (G1) compared to multigravid (G&gt;2; p value 0.012 and 0.019, respectively). Pregnant women of the Baiga ethnic group were more likely to have malaria compared to those belonging to the Gond group (OR [95% CI]; 2.4 [1.7\u20133.4]; p&lt;0.00001) and non-indigenous group (OR [95% CI]; 8.3 [3.9\u201319.7]; p&lt;0.00001). Primigravid status of women, first and second trimester of pregnancy, women belonging to indigenous ethnic tribal group and cash crop insufficiency for whole year (a socioeconomic indicator) in the family were the independent risk factors for malaria.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"st4\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>MIP is a major public health problem in forested tribal settlements of Birsa and Baihar blocks of Balaghat district in Madhya Pradesh and requires immediate intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.25259\/nmji_535_21","type":"journal-article","created":{"date-parts":[[2024,6,18]],"date-time":"2024-06-18T07:49:20Z","timestamp":1718696960000},"page":"351-357","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Burden of malaria during pregnancy in perennial transmission settings of two densely forested and remote blocks (Baihar and Birsa) of district Balaghat, Madhya Pradesh, central India"],"prefix":"10.25259","volume":"36","author":[{"given":"VIDHAN","family":"JAIN","sequence":"first","affiliation":[{"name":"ICMR-National Institute of Research in Tribal Health, Garha, Jabalpur 482003, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"RAVENDRA KUMAR","family":"SHARMA","sequence":"additional","affiliation":[{"name":"ICMR-National Institute of Research in Tribal Health, Garha, Jabalpur 482003, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MAN MOHAN","family":"SHUKLA","sequence":"additional","affiliation":[{"name":"ICMR-National Institute of Research in Tribal Health, Garha, Jabalpur 482003, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"KULDEEP K.","family":"KHOSLA","sequence":"additional","affiliation":[{"name":"Chief Medical Health Officer, Balaghat, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"NEERU","family":"SINGH","sequence":"additional","affiliation":[{"name":"ICMR-National Institute of Research in Tribal Health, Garha, Jabalpur 482003, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"RAJASUBRAMANIAM","family":"SHANMUGAM","sequence":"additional","affiliation":[{"name":"ICMR-National Institute of Research in Tribal Health, Garha, Jabalpur 482003, Madhya Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2024,6,17]]},"reference":[{"key":"10.25259\/NMJI_535_21\/ref-1","doi-asserted-by":"publisher","first-page":"424","DOI":"10.1016\/0035-9203(91)90205-D","article-title":"Malaria during pregnancy in an area of unstable endemicity","volume":"85","author":"Nosten","year":"1991","journal-title":"Trans R Soc Trop Med Hyg"},{"key":"10.25259\/NMJI_535_21\/ref-2","doi-asserted-by":"publisher","first-page":"32159","DOI":"10.1038\/srep32159","article-title":"Antibody responses to Plasmodium falciparum and Plasmodium vivax blood-stage and sporozoite antigens in the postpartum period","volume":"6","author":"McLean","year":"2016","journal-title":"Sci Rep"},{"key":"10.25259\/NMJI_535_21\/ref-3","first-page":"1","article-title":"Malaria and pregnancy in Cameroonian women. 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