Prevalence of Risk Factors Associated with Placental Malaria in Observational Study in Kator Primary Health Center South Sudan

Abstract

Introduction: Civil unrest, public health system fragility and community mass relocation had played major roles in development of Placental Malaria Parasitization. This study aimed to measure and identifies risk factors associated with placental malaria infections in Kator primary health center. Methods and Materials: 115 enrolled pregnant women in cross-section survey after signing consent form using observational technique tools in one year period. ABO, peripheral blood antigen detection for malaria parasites using RDT kits and quantitative questionnaire information were obtained at recruitment phase while second peripheral blood for placental malaria parasites species applying RDT, placental weight and baby weight were measured after delivery as phase two. SPSS version 26 was applied with 0.005% P-value and CI 95%. Results: Out of 115 recruited pregnant women only (86.0%) 99 reached delivery room. With 29 primigravidae, 23 secundigravidae and 47 multigravidae; primigravida OR 95%CI 2.4 (1.73-5.64) P-vale 0.00013 and secundigravida with OR 95% CI1.8 (1.23-2.93) P-value 0.00072 and multigravida with OR 95% CI 1.5 (0.91-3.45) P-value 0.83. untreated bed net with OR 95% CI 1.4 (1.12-3.08) P-value 0.00053 and shared bed net at night with OR 95% CI 7.4(5.18-17.32) P-value 0.00027. Low birth weight, low placental weight and blood group O were not associated with placental malaria. Overall Placental Malaria prevalent was 26.3%. Conclusion: in this study, elevated placental malaria was recorded in Kator area of South Sudan. Doubling efforts to reduce placental malaria infections and its adverse clinical complications a new strategy to control the syndromic effects of the disease is required.