Why are pregnant women at risk
of malaria?

Pregnancy reduces a woman’s immunity to malaria, which makes her more susceptible to malaria infection and increases her risk of illness.

In pregnant women, malaria can lead to severe anemia, spontaneous abortion (miscarriage), stillbirth, premature delivery, delivery of low-birthweight babies, and death. Women in their first pregnancy are most at risk. Parasites can be present in the placenta and contribute to maternal anemia even when the mother does not appear to be ill. The use of intermittent preventive treatment in pregnancy (IPTp) reduces these risks and should be part of routine antenatal care in moderate and high transmission areas.

How we make an impact

Insecticide-treated nets

Intermittent preventive treatment

Effective case management of malarial illness


The Roll Back Malaria – Malaria in Pregnancy Working Group and Jhpiego recognize the 5th anniversary of the IPTp Call to Action

Despite recent gains, coverage of intermittent preventive treatment during pregnancy (IPTp) remains alarmingly low across sub-Saharan Africa. The World Health Organization recommends that pregnant women living in areas of moderate-to-high malaria transmission receive at least three doses of IPTp, however, only 31% of pregnant women currently receive all three doses. 

Jhpiego has been a long-standing contributor to the Roll Back Malaria – Malaria in Pregnancy Working Group (RBMMiPWG), including providing secretariat support, with financing from USAID/PMI, and serving as co-chair, a position held by Jhpiego’s Koki Agarwal from 2010–2014 and Elaine Roman, who recently stepped down after co-chairing from 2014–2020. Through its role in the RBMMiPWG, Jhpiego has been a key player in fostering engagement and coordination of both malaria and reproductive health technical areas and continuously advancing the malaria in pregnancy agenda.

April 2020 marks the 5th anniversary of the initial Call to Action, launched by the working group in partnership with the World Health Organization, to increase IPTp coverage among eligible pregnant women in sub-Saharan Africa.  This anniversary provides an opportunity to reflect on progress since the 2015 Call to Action, recognizing how far we have come and where we need to go to achieve our milestones.

To mark the 2020 IPTp Call to Action, we are sharing the RBMMiPWG infographic advocating for the prioritization of malaria in pregnancy interventions, including IPTp, as well as guidelines for how to successfully and safely implement malaria in pregnancy interventions in the context of COVID-19. We are also sharing a video highlighting the importance of malaria in pregnancyprogramming.

Jhpiego looks forward to continuing to substantively engage with and support the RBMMiPWG and contributing to the success of the 2020 IPTp Call to Action.


In 2019, Jhpiego supported programs
in 21 countries and reached:

Pregnant woman looking out of her window
2,279,600
pregnant women received two doses of intermittent preventive treatment.
2,477,884
pregnant women received an insecticide-treated bed nets.
Young mother holding a baby standing in a doorway.