Malaria in pregnancy is a significant public health issue in sub-Saharan Africa, with 30 million pregnancies at risk each year. Pregnant women are particularly vulnerable due to immunological changes and the placental environment that facilitates parasite sequestration. The predominant malaria parasite, Plasmodium falciparum, is associated with significant maternal and fetal complications. Effective malaria prevention strategies include insecticide-treated nets (ITNs) and intermittent preventive treatment (IPTp) with Sulfadoxine-pyrimethamine. However, adherence to preventive chemotherapy is challenging due to side effects and socioeconomic barriers. Health education programs are crucial for increasing awareness and promoting preventive behaviors. Early diagnosis and prompt treatment are critical for managing severe malaria cases. Environmental and vector control measures, such as indoor residual spraying and larval source management, are vital for reducing mosquito populations and transmission. Nutritional interventions support immune function and overall health. Access to healthcare services, innovative technologies, and cultural and socioeconomic factors are essential for overcoming barriers to malaria prevention and treatment. Continuous monitoring and evaluation are crucial for refining interventions and improving health outcomes. Keywords: Malaria, Pregnancy, Challenges, Strategies, Effective Prevention
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