Project Title

Operational feasibility, impact of additional screening using highly-sensitives Rapid Diagnostic Tests combined with high coverage of IPTp-SP on placental malaria and low birth weight (ASSER Malaria)

EDCTP Project Call

Career Development Fellowship (CDF)

Project Objectives

1. To determine the gain of additional screening with HS-RDTs and treatment with DP against placental malaria, LBW and peripheral malaria infection at delivery 2.To assess the determinants of the poor coverage and improve the number of IPTp doses received using phone call or SMS as a reminder

Study Design

This study is a phase III, 2-arms randomized open trial with a nested study study (qualitative social behavioral study) to be carried out in Nanoro district.

Project Summary

National malaria control strategies in pregnant women relies primarily on effective case management along with the use of long lasting insecticide-treated nets (LLINs)throughout pregnancy and intermittent preventive treatment with sulfadoxine–pyrimethamine (IPTp-SP) in the second and third trimesters in malaria-endemic regions in sub-Saharan Africa (SSA). For the latter, 3 or more doses are recommended by the national malaria control program (NMCP) but available data suggests that only 19% of eligible women received this in 2016 despite observed high attendance to antenatal clinic (ANC). Adherence to IPTp may be affected by perceptions, acceptability and contextual factors that need to be understood and therefore improve the effectiveness of this health interventions. In addition, all malaria cases should be confirmed either by microscopy or using a rapid diagnostic test (RDTs) before any treatment. Despite the crucial role of RDTs in improving malaria case management SSA, many malaria cases are missed in pregnant women due to the power performance of recommended RDTs which are unable to detect very low parasitaemia. Identifying lower density infections in pregnant women by the use of highly-sensitive RDTs and clearing them with an effective ACT could improve the outcome of the pregnancy in addition to IPTp-SP. The objective of this proposal is to determine the operational feasibility and the impact of additional screening with HS-RDTs and treatment with Dihydroartemisinin–piperaquine (DP) on placental malaria (PM) and low birth weight (LBW) in a context of IPTp-SP, in rural central Burkina Faso. More specifically the objectives are: 1. To determine the gain of additional screening with HS-RDTs and treatment with DP against PM, LBW and peripheral malaria infection at delivery 2.To assess the determinants of the poor coverage and improve the number of IPTp doses received using phone call or SMS as a reminder To achieve these objectives, this proposal is designed as a 2-arm randomized controlled trial with a nested qualitative behavioral study. The present proposal if awarded, will help to train and retain an African scientist in his home country. In addition, the fellow by leading this project will have the opportunity to develop his research, statistic and leadership skills as well as. More importantly, results of this project will be disseminated in order to improve outcomes of MiP in SSA.

Host Organisation

Sites

Current Organisation

Clinical Research Unit of Nanoro/IRSS-DRCO/CNRST

Current Job Title

Research Associate

Biography