BackgroundThe World Health Organization (WHO) recommends for sub-Saharan Africa a package of prompt and effective case-management combined with the delivery of insecticide-treated nets (ITN) and intermittent preventive treatment during pregnancy ( @entity13583 ) with @entity1484 (SP) through the national antenatal care (ANC) programs. Implemented in C  te d  Ivoire around 2005, few Data on @entity13583 coverage and efficacy in the country are available.MethodsA multicentre, cross-sectional survey was conducted in C  te d  Ivoire from September 2009 to May 2010 at six urban and rural antenatal clinics. @entity13583 -sp coverage, Socio-economic and obstetrical data of mothers and neonate birth weights were documented. Peripheral blood as well as placental and cord blood were used to prepare thick and thin blood films. In addition, pieces of placental tissues were used to prepare impression smears and maternal haemoglobin concentration was measured. Regression logistics were used to study factors associated with placental @entity311 and LBW (<2.500 grams).ResultsA total of 1317 delivered @entity1 were enrolled with a median age of 26  years. A proportion of 43.28% of the @entity1 had received at least two doses of IPTsp during the current pregnancy although a high proportion (90.4%) of @entity1 received antenatal care and made enough visits (  2). Variability in the results was observed depending on the type of area (rural/urban). @entity3964 was detected in the peripheral blood of 97 @entity1 (7.3%) and in the placenta of 119 @entity1 (9%). LBW @entity1 were born to 18.8% (22/107) of @entity1 with placental @entity311 and 8.5% (103/1097) of @entity1 without placental @entity311 . LBW was associated with placental @entity311 .ConclusionsThis study found relative low coverage of @entity13583 in the study areas which supported findings that high ANC attendance does not guarantee high @entity13583 coverage. Urgent efforts are required to improve service delivery of this important intervention.

Coverage and efficacy of intermittent preventive treatment with XXXX against @entity311 in pregnancy in C  te d  Ivoire five years after its implementation.

@entity1 :: ('9606', 'Species') :: ['women', 'infants'] @entity1484 :: ('MESH:C001205', 'Chemical') :: ['sulphadoxine-pyrimethamine'] @entity3964 :: ('5833', 'Species') :: ['Plasmodium falciparum'] @entity13583 :: ('54802', 'Gene') :: ['IPTp'] @entity311 :: ('MESH:D008288', 'Disease') :: ['malaria']
@entity1484 :: (MESH:C001205,Chemical) :: ['sulphadoxine pyrimethamine']
