MALARIA EFFECT ON PREGNANT WOMEN HEALTH: Cases study: Case of attendees of antenatal care service at hanika health center PERIOD: 14th august -24th September 2018

Abstract

Malaria is an infectious disease which infects millions of people on the globe annually. The Disease is a global health problem, which affect mainly young children especially those less than Five years of age and pregnant women. Malaria in pregnancy (MIP) is a serious health risk for the pregnant woman, the fetus and ultimately the newborn and infant. The P. falciparum parasite, which causes anemia and hypoglycemia, is also thought to be the only one responsible for placental malaria.

In Rwanda, Malaria remains to be one of the causes of mortality and morbidity, according to the Rwanda 2010 Demographic and Health Survey (DHS) and the Rwanda Health Sector Strategic Plan 2009 - 2012.Children under five and pregnant women are the most affected In 2010, the number of confirmed malaria cases in Rwanda was 8,517, corresponding to a 76% decline Compared to35, 688 confirmed cases during 2000- 2005. The aim of this thesis is to contribute for determining the effect of malaria parasites and its complication in pregnancy women especially those who live in Macuba sector where HANIKA HEALTH CENTRE is located and its around, Study was a retrospective antenatal record of HHC by comparing outcomes during pregnancy like anemia and hypoglycemia between pregnant women with malaria parasites and pregnant women without malaria parasites by identifying the age and gestation period as risk factors

Among 471 pregnant women who attended antenatal care at HANIKA health center, 26.53% women was diagnosed with malaria positive. Among those who were positive to malaria, 27.20% were more likely to have hypoglycemia, our result also showed that among pregnant with positive malaria, 76% women had anemia. Anemia and hypoglycemia was found to be high in women with positive malaria compared to those with negative to malaria We recommend that health facilities especially health centers that they should always make a follow-up test for hemoglobin and glycemia in all trimesters and record all the observable of the a result, all health centers also should mobilize all pregnant women to attend antenatal care in all trimesters