ISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, Spain; Centro de Investigação em Saúde da Manhiça (CISM), Maputo, Mozambique.
ISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, Spain; Centro de Investigação em Saúde da Manhiça (CISM), Maputo, Mozambique.
Trends Parasitol. 2019 Sep;35(9):677-686. doi: 10.1016/j.pt.2019.07.005. Epub 2019 Aug 5.
Women attending antenatal care (ANC) are a generally healthy, easy-access population, contributing valuable data for infectious disease surveillance at the community level. ANC-based malaria surveillance would provide a routine measure of the malaria burden in pregnancy, which countries lack, whilst potentially improving pregnancy outcomes. It could also offer contemporary information on temporal trends and the geographic distribution of malaria burden as well as intervention coverage in the population to guide resource allocation and to assess progress towards elimination. Here, we review the factors underlying the relationship between Plasmodium falciparum in pregnancy and in the community, and outline strengths and limitations of an ANC-based surveillance in sub-Saharan Africa, its potential role within wider malaria surveillance systems, and subsequent programmatic applications.
参加产前保健（ANC）的妇女通常是健康且易于接触的人群，为社区层面的传染病监测提供了有价值的数据。基于 ANC 的疟疾监测将为妊娠期间疟疾负担提供常规衡量标准，而目前各国缺乏这一衡量标准，同时也有可能改善妊娠结局。它还可以提供疟疾负担的时间趋势和地理分布以及人群中干预措施覆盖率的最新信息，以指导资源分配并评估在消除疟疾方面的进展。在这里，我们回顾了妊娠期间和社区中疟原虫之间关系的基础因素，并概述了在撒哈拉以南非洲开展基于 ANC 的监测的优势和局限性、其在更广泛的疟疾监测系统中的潜在作用以及后续的方案应用。
