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Last Updated: 10/06/2024

Understanding COVID-19 infection in pregnant women and their babies (periCOVID Africa)

Objectives

Work Package 2 (WP2)– COVID-19 surveillance and seroepidemiology of pregnant women

Work Package 3 (WP3) – Communications, networking and dissemination

  • To describe the sero-epidemiology of COVID-19 among pregnant women across five countries in Africa
  • To assess the risk of COVID-19 to newborn infants born to women with COVID-19 and determine potential routes of MTC transmission 
  • To determine the clinical course and pregnancy outcomes of women with COVID-19 during pregnancy
  • To determine the presence and duration of viral excretion in various mother and baby samples (serum, throat and nasal swabs, vaginal swabs, urine stool, placental swabs and biopsies and breastmilk)
  • To assess the immune responses to SARS-CoV-2 in pregnant women and their babies
  • To work with communities to develop an understanding of infection prevention and control techniques to reduce the spread of COVID-19 amongst the pregnant population.
Rationale and Abstract

WP2 partners within the PREPARE study, have been awarded an EDCTP Research and Innovation Action (RIA) award for COVID-19. The grant will align with WP2 activities and includes 9 collaborators in Kenya, Malawi, Mozambique, Norway, The Gambia, Uganda, and the UK. It will build on existing pregnancy and neonatal cohorts in five African countries to better understand COVID-19 impacts on pregnancy, define immune responses in mothers and babies, and work with communities on infection prevention and control in pregnant women. 

Study Design

Recruiting women during pregnancy in five countries across Africa:
The Gambia, Kenya, Malawi, Mozambique, Uganda

Fully aligned with WHO MCH Generic Pregnancy and Neonatal COVID study protocol 

Total pregnancies all countries: 70,000 

WP2 – periCOVID-Africa

  • Designed to align with existing study collection time points (PREPARE and PRECISE)
  • All samples to be taken as swabs (except blood samples)
  • All women will have:
    • Throat swab
    • Blood sample
    • Cord blood
    • Infant nasal swab
  • Any woman who tests positive for COVID-19 during the study will have additional samples taken   

WP3 – Community engagement

  • Developing a strategy for patient and public involvement, communications, capacity strengthening and stakeholder engagement
  • Working with our partners to develop a comprehensive programme of patient engagement around COVID-19 that can build around existing cohort studies
  • Designing patient facing documents and providing training for researchers to align with community values
  • Understanding issues that are important for pregnant and breastfeeding women during COVID-19

Key actions

  • Inviting local families, nursing and midwifery staff to a meeting about the study
  • Focus group discussions to understand the effects of the pandemic on antenatal and postnatal care seeking and knowledge and views about the pandemic.
Project Outputs

periCOVID Study Protocol

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