Malaria during pregnancy has adverse consequences on the mother and fetus. Information describing the prevalence, Plasmodium species types and the influence of socio-economic risk factors of malaria in pregnancy is scarce. In order to determine the distribution of malaria parasite species and risk factors among pregnant women in Bungoma County, a cross sectional hospital based study was carried out between March 2016 and January 2017 among 750 consented expectant mothers seeking antenatal services at the Bungoma County hospital. Malaria positivity and species identification were determined microscopically using Giemsa stain technique. Socio economic risk factors were collected using a structured pre-tested questionnaire. Data was analysed using STATA version 12. Descriptive analysis was used to determine malaria prevalence. Chi-square (X2) and regression analyses were used to determine the association between malaria and risk factors with P-
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World Malaria Report. http://www.who.int/malaria/publications/worldmalaria -report 2015 access date 5.5.2018
World Malaria Report. http://www.who.int/malaria/publications/world_ malaria_report_2013 access date 5.5.2018
Yatich NJ, Pauline EJ, Ellen F, et al. The Effect of Malaria and Intestinal Helminth Coinfection on Birth Outcomes in Kumasi, Ghana. Am J Trop Med Hyg. 2010;82:28-34.
Steketee RM, Nahlen BL, Praise ME, et al. The burden of malaria in pregnancy in malaria endemic areas, Am J Trop Med Hyg. 2001;64:28-35.
Bhattacharyya PC. Malaria in pregnancy. Medicine Update. 2011:477.
Tako EA, Zhou A, Lohoue J, et al. Risk factors for placenta malaria and its effect on pregnancy outcome in Yaounde, Cameroon. Am J Trop Med Hyg. 2005;72:236-42.
Meeusen EN, Bishof RJ, Lee CS. Comparative T-cell response during pregnancy in large animals and humans Am J Repro Immunol. 2001;46:16979.
Telfer S, Lambin X, Birtles R. Species interactions in a parasite community drive infection risk in a wildlife population. Science. 2010;330:243-6.
Rachel J, Raymond O, Michael O, et al. Prevalence of malaria parasites in adults and its determinants in malaria endemic area of Kisumu County, Kenya. Malaria Journal. 2015;14:263.
Samuel C, Kofi T, Emmanuel A, et al. Parasitic infections and maternal anaemia among expectant mothers in the Dangme East District of Ghana. BMC Research Notes. 2017;10:1.
Government of Kenya National Bureau of Statistics. The 2009 population and housing census: Ministry of State for Planning, National Development and Vision 2030, counting our people for implementation of Vision 2030 Vol 1. Government printer, 2010.
Cheesbrough M. District Laboratory Practice in Tropical Countries. Part I. Cambridge University Press. 1998:242-53.
Francis Z, Viviane H, Matong T, et al. Co-infections of Malaria and Geohelminthiasis in two rural Communities of Nkassomo and Vian in the Mfou District, Cameroon, PLoS Negl Trop Dis. 2014 Oct 16;8:e3236.
Fairley JK, Bisanzio D, King CH. Birth weight in offspring of mothers with high prevalence of helminth and malaria infection in coastal Kenya. J Trop Med Hyg. 2013;88:48-53.
Getachew M, Tafess K, Zeynudin A, et al. Prevalence soil transmitted helminthiasis and malaria co-infection among pregnant women and risk factors in Gilgel Gibe Dam area, southwest Ethiopia. BMC Res Notes. 2013;6:263.
Bigoga JD, Nanfack MF, Awono-Ambene HP, et al. Seasonal prevalence of malaria vectors and entomological inoculation rates in the rubber cultivate area of Niete, South Region of Cameroon. Parasites Vectors. 2012;5:197.
Trape FJ. Rapid evaluation of malaria parasite density and standardization of thick smear examination for epidemiological investigations. Trans R Soc Trop Med Hyg. 1985;78:181-4.
Fredrick OA, Taiwo AO, Christopher EO, et al. Co-infection of malaria and intestinal parasites among pregnant women in Edo state, Nigeria. J Med Trop. 2017;1:43-8.
Eisele TP, Larsen DA, Anglewicz PA, et al. Malaria prevention in pregnancy, birth weight, and neonatal mortality: a meta-analysis of 32 national crosssectional datasets in Africa. Lancet Infect Dis. 2012;12:942-9.