 PHASE TWO: An intervention study testing community based approaches for delivering IPT with SP to pregnant women was conducted. The study had four delivery approaches: TBAs, DSVs, CRHWs and APMs were trained to give a two dose regimen of SP to pregnant women. These approaches were compared with routine services at health centres II to IV. The intervention was coupled with community mobilisation and sensitisation to ensure that all women were informed on the intervention. Information materials and posters were distributed in the study areas to indicate the benefits of malaria prevention and where to get SP. All pregnant women who visited DSVs, TBAs, CRHWs, APMs and health centres and consented to participate in the study were recruited and given IPT with SP once during the second and third trimester. Baseline data were obtained on Hb levels, parasitaemia, history of previous illnesses, obstetric history and socio-demographic data. Appointments were made for the pregnant women to have a blood sample taken for investigations before receiving the first dose of SP. TBAs, CRHWs, APMs and DSVs were trained to keep appropriate calendars of scheduled visits for the second dose of SP. Pregnant women received health education, iron and folic acid supplementation, de-worming and information on proper nutrition. All pregnant women used their card with PIN number for identification wherever they went to get care. The women were encouraged to deliver at health units. TBAs, CRHWs, APMs and DSVs were supplied with baby weighing scales for babies who are delivered at home within 5 days of delivery. Pregnant women who had a history of allergy to sulphonamide containing drugs were excluded. 