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Aim & objectives

Aim of the project

The aim of COSMIC is to reduce malaria during pregnancy and the harmful complications that arise from this infection for both mother and child. It is doing this by studying whether the current malaria case management can be improved during pregnancy by introducing low cost screening with rapid diagnostic tests in the affected communities through community health workers.

Overall objective

The overall objective is to determine the added value of monthly screening and treatment at the community level of pregnant women implemented through the community health workers that are already involved in the general community case management of malaria, on top of the standard care of 2 doses of intermittent preventive treatment with Sulphadoxine Pyrimethamine (IPTp/SP) delivered at the antenatal care during pregnancy.

Specific objectives

  • Identify, both at the community and health facility level, potential bottlenecks for the implementation of the intervention.
  • Determine the impact of the intervention at health system level.
  • Determine the impact of the intervention on antenatal care attendance and IPTp/SP coverage.
  • Determine the protective efficacy of the intervention on important malaria indicators, such as birth weight of the newborn and placental malaria.
  • Estimate the cost effectiveness of the intervention.
  • Formulate policy recommendations to implement this intervention in the West Africa region and other SSA countries.