Abstract
Malaria continues to cause devastation during pregnancy. Unfortunately, there is still no clear strategy to effectively protect pregnant women and countless mothers living in malaria endemic countries are dying every year. The effective prevention of malaria during pregnancy will take much more than the so-called “Global Call for Action” for an intervention (IPTp-SP) that cannot succeed. A new and truly “global” strategy is urgently needed.
Highlights
Despite recent progress, malaria continues to cause devastation during pregnancy
Asymptomatic pregnant women infected with Plasmodium falciparum in Africa were left untreated
It is clear that even when silent, a low-density parasitaemia is deleterious to the mother and the fetus [1]
Summary
Asymptomatic pregnant women infected with Plasmodium falciparum in Africa were left untreated. All this suffering affecting poor rural communities is readily preventable: malaria parasites already present in the maternal circulation must be promptly detected and eliminated and new infections totally prevented. Chico and colleagues [3] lament at the low up-take of intermittent preventive treatment with sulfadoxine–pyrimethamine (SP) (IPTp-SP) in pregnant women at risk of malaria.
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