Population-Based Estimation of the Preterm Birth Rate in Lilongwe, Malawi: Making Every Birth Count

AJP Rep. 2020 Jan;10(1):e78-e86. doi: 10.1055/s-0040-1708491. Epub 2020 Mar 9.

Abstract

Objective The objective of this study was to perform a population-based estimation of the preterm birth (PTB) rate in regions surrounding Lilongwe, Malawi. Study Design We partnered with obstetrician specialists, community health workers, local midwives, and clinicians in a 50 km region surrounding Lilongwe, Malawi, to perform a population-based estimation of the PTB rate during the study period from December 1, 2012 to May 19, 2015. Results Of the 14,792 births captured, 19.3% of births were preterm, including preterm early neonatal deaths. Additional PTB risk factors were similarly prevalent including domestic violence, HIV, malaria, anemia, and malnutrition. Conclusion When performing a population-based estimation of the rate of PTB, including women without antenatal care and women delivering at home, the 19.3% rate of PTB is among the highest recorded globally. This is accompanied by a high rate of risk factors and comorbid conditions.

Keywords: Malawi; global; global health; maternal health; preterm birth.

Grant support

Financial Support USAID/Bill & Melinda Gates Foundation Saving Lives at Birth Grand Challenges Grant: AID-OAA-G-11–00062 (K.M.A.); E.W. Al Thrasher Foundation (K.M.A.); and NIH K12 GM084897 (R.M.P.). E.W. Al Thrasher Foundation, Foundation for the National Institutes of Health, (award no.: K12 GM084897) USAID/Bill & Melinda Gates Foundation Saving Lives at Birth Grand Challenges Grant (grant no.: AID-OAA-G-11-00062).