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Table 4 IPTp timing inconsistencies within countries*

From: Assessment of the consistency of national-level policies and guidelines for malaria in pregnancy in five African countries

 

National malaria policy

National malaria guidelines

National RH policy

National RH guidelines

In-service training materials

Supervision materials

Pre-service curricula

Weeks during which providers can give IPTp-SP (# weeks during which IPT-SP can be given)

Kenya

No guidance

Each scheduled visit after quickening up to 40 weeks

No guidance

No guidance

Each scheduled visit after quickening up to 40 weeks

Each scheduled visit after quickening up to 40 weeks

Not available

16–40 weeks (24 weeks)

Mali

No guidance

Twice after 16 weeks; no upper limit

Combined with RH guidelines, thus: IPTp-SP at 24–28 and 32–36 weeks

IPTp-SP at 24–28 and 32–36 weeks

Two doses between the 4th and 8th months of pregnancy, up to 36 weeks

Give between 4th and 8th months, number of doses not mentioned

Not available

Ranges from 16–40 weeks (24 weeks); from 24–28 and 32–36 weeks (8 weeks); and between the 4th–8th months (16 weeks)

Mozambique

No guidance

Two doses after 20 weeks

No guidance

Three doses after 20 weeks

Give after 20 weeks

Three doses after 20 weeks

Three doses after 20 weeks

Give between 20–40 weeks; (20 weeks)

Mainland Tanzania

No guidance

1st dose 20–24 weeks, 2nd 28–32 weeks

No guidance

No guidance

1st dose 20–24 weeks, 2nd 28–32 weeks

1st dose 20–24 weeks, 2nd 28–32 weeks

1st dose 20 – 24 weeks, 2nd 28 – 32 weeks

Give between 20–24 and 28–32 weeks (8 weeks)

Uganda

No guidance

1st dose 4th–6th month, 2nd dose 7th–9th months

1st dose at 24–28 weeks; 2nd before 32 weeks

No guidance

1st dose at 16–24 weeks; 2nd dose at 28–34 weeks

No guidance

Not available

Ranges from 4th–9th months (24 weeks); between 24–28 weeks and before 32 weeks (8 weeks); and between 16–24 and 28–34 weeks (14 weeks)

  1. *All countries stipulate that IPTp-SP should be given at intervals of at least 4 weeks.