Objectives
To analyze the effect of a home early personalized accompaniment of pregnant women focused on nutritional counseling, iron supplementation, prevention of malaria and parasitic diseases, assoiated with appropriate prenatal cares, on the occurrence of anemia in pregnancy, the prevalence of severe anemia and adverse effects on the fetus.
Methods
A cluster randomized trial is being carried out both in the community and in health facilities in the rural health district of Sindou, Burkina Faso,since January 2015.Personalized support is offered to pregnant women at home and in health facilities by community health workers and providers trained on the prevention and management of anemia in pregnancyin the intervention area. The data on the health of followed women are collected using individual records in households and in health facilities,in the intervention and the control areas.Eacharmof thestudy contains 25 clusters of 15 pregnant womenenrolledin the first trimester of pregnancy. In the intervention area, each woman the hemoglobin level is determined using an hemoginometer.
Results
The main expected results are the reduction of prevalence of moderate anemia and severe anemia in both groups. The expected results are secondary reducing morbidity and maternal mortality and pregnancy outcomes (abortion, premature birth, low birth weight, stillbirth).
Conclusions
This personalizedearlysupport of pregnant women focused on nutritional counseling, iron supplementation, prevention of malaria and parasitic diseases, associated with appropriate antenatal cares should reduce the incidence of anemia during pregnancy, the prevalence of severe anemia and its negative effects on the fetus.
