Training Manual for Preventive Malaria - Ministry of Health

Table: Treatment of Uncomplicated Malaria in Pregnant Women using Artesunate-
Amodiaquine in 2 nd and 3rd Trimester
DAY DRUG AND DOSAGE COMMENTS
1 Tab. Artesunate 600mg
Tab. Amodiaquine 200mg
PLUS
Paracetamol: 1 gram (2
tablets) every 6 hours, if
needed
2 and 3 Tab. Artesunate 600mg
Tab. Amodiaquine 200mg
(each day)
PLUS
Paracetamol: 1 gram (2
tablets) every 6 hours, if
needed
Followup
after
Treatm
ent of
Uncom
plicated
Malaria
The patient takes the first dose of
Artesunate-Amodiaquine on day 1. Advise
client to:
-Continue iron tablets
-Consume iron-rich foods
-Use ITNs and other preventive measures
-Take analgesics, if needed to lower the body
temperature
-Record relevant information on Maternal
Record Book.
Continue Artesunate- Amodiaquine on days 2
and 3
Ensure that;
o The client knows the danger signs and advises her to return to the facility for
a follow-up visit after treatment is complete or if her condition worsens.
o IPT schedule is followed if it has previously been started.
o IPT schedule is started at the next visit, if she has not previously received it.
4.4a: RECOGNIZING COMPLICATED MALARIA IN PREGNANT WOMEN
Malaria may be uncomplicated or complicated. Although uncomplicated malaria is easily
treated, complicated malaria may be life-threatening and therefore, needs to be promptly
recognized and treated.
Signs and symptoms of complicated malaria
• Dark coloured urine
• Drowsiness or coma
• Jaundice
• Inability to stand or support oneself
• Persistent vomiting
• Temperature over 39 o C and above
• Anaemia
• Poor urine output
• Difficulty in breathing
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