Rapid Assessment of the Burden of Malaria During Pregnancy: Module 3: Hospital Surveillance of Malaria Disease: Data Abstraction Form

Gathering information about malaria disease among all hospitalized women can provide descriptive information about whether or not pregnant women have more malaria illness, which in turn can be used to determine if intermittent preventive treatment (IPTp) should be recommended or if the focus should be on case management and use of insecticide-treated bed nets (ITNs).

This data abstraction form is used to collect the following information about all hospitalized women: history of illness and treatment, admission and discharge diagnoses, laboratory results of tests for malaria, and indicators related to severe malaria, treatment, and clinical outcome for the mother and fetus.