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Framework programme: 5
Project number:
EC contribution: € 549 941
Duration: 36 months
Type: CA
Starting date: 1 December 2001
Graphic element A Cost-Shared Concerted Action on Malaria and Anaemia Control in Pregnant Women


Malaria is the most important preventable cause of low birth weight in the world and this is closely linked with child survival. Since 1964, about 300 papers reporting, directly or indirectly, on malaria control measures during pregnancy have been published. However, it is not clear how results available from research projects on the management of malaria during pregnancy could be translated into public health interventions. This project intends to encourage the implementation of research findings into malaria control programmes and propose solutions for their delivery in order to make services more accessible to women. This will be done by reviewing available information and addressing specific technical issues. Enlarged annual meetings and in-country meetings will assure the link between published research findings and their application as control interventions.


The aim of PREMA-EU is to assist malaria endemic countries in decreasing the burden of disease caused by malaria and anaemia among pregnant women and babies living in endemic areas by promoting effective control strategies. The specific objectives are:

l) to review, synthesise and inform on the state of the art concerning malaria and anaemia in pregnancy, including the burden of disease, programme strategies and research priorities
2) to address specific technical and operational issues critical for malaria and anaemia control in pregnancy
3) to promote the implementation of research findings into feasible interventions for malaria control in pregnant women
4) to generate information that would help Roll Back Malaria (RBM) in formulating national and district-based policy for the control of malaria in pregnant women.


This is a concerted action involving several partners from both the northern and southern hemispheres, all interested in the problem of malaria control for pregnant women. The group is heterogeneous and includes researchers interested in malaria infection during pregnancy and health managers involved in malaria control programmes in endemic countries. Activities are divided into four closely linked work packages. Published and unpublished relevant material will be reviewed in order to analyse the size of the problem, what control methods work, what are the current practices in endemic countries and how these relate to policy. This will be done with the aim of synthesising available information relevant for control programmes and identifying gaps in knowledge. Specific technical and operational issues considered critical for malaria and anaemia control in pregnancy will be addressed, and consensus papers or appropriate research protocols will be produced. Annual meetings, enlarged to include policy makers, managers of national programmes and possibly district medical officers, will be held with the aim of broadening the basis of discussion and finding possible solutions. The group will also contribute to the development of guidelines and policy meetings for endemic countries. Links with international organisations such as WHO or with non-governmental organisations active in this field will be developed.


Established links with relevant (national and international) organisations by month 3.

First meeting with all the partners by month 6.
First newsletter issue and corresponding web page by month 6.
Two in-country policy development meetings per year.
One PREMA workshop per year.
Review and synthesis of available information by month 18.

This concerted action will increase awareness among health managers of the problem and on existing control methods.


Bernard Brabin
Liverpool School of Topical medicine
L3 5QA Liverpool
United Kingdom
Tel: +44 151 708 9393
Fax: +44 151 708 8733


  1. Malaria Control Programme, Ministry of Health, Kampala, Uganda
  2. Department of Pediatrics, College of Medical Sciences, University Of Calabar, Calabar, Nigeria
  3. Prince Leopold Institute of Tropical Medicine, Antwerp, Belgium
  4. Eundacio - Unidad, Barcelona, Spain
  5. London School of Hygiene and Tropical Medicine - Epidemiology and Public, London, United Kingdom
  6. Malaria Consortium, London School of Hygiene and Tropical Medecine, London, United Kingdom
  7. Schoklo Malaria Research Unit, Mae Sot, Thailand
  8. National Institute for Medical Research, Amani Research Centre Amani, Tanga, Tanzania
  9. Departement d'Epidemiologie des Affections Parasitaires/Fmpos, Bamako, Mali
  10. University of Zambia - Mother to Child Transmission of HIV (MTCT) Secretariat, University Teaching Hospital, Department of Paediatrics, Lusaka, Zambia

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