Assessing the Effectiveness of Community Delivery of Intermittent Preventive Treatment in Pregnancy (IPTp) in Malawi

Inclusion Criteria: Pregnant women: * All pregnant women residing in study catchment area are eligible to receive SP from HSAs, with the exception of HIV positive women. * To be included in the women's question portion of the baseline and end line household surveys, women must be between the ages of 16-49 years, have been pregnant/delivered in the previous 12 months, consent to participation, and will be eligible for inclusion in surveys regardless of where the woman gave birth (i.e., whether at home or in facility). All pregnant/recently pregnant women will be included in the cross sectional survey, but the sample size is calculated in order to identify those who have completed pregnancies in the past 12 months. There were be a very short subset of demographic and knowledge questions which will be asked of all households during the baseline and end line surveys, regardless of whether there are any recently pregnant women in the household. Providers: * At each facility we will randomly select one ANC provider who has had at least six months of work experience * HSA supervisor * Health facility in-charge HSAs: • All HSAs working in the study areas will be eligible; we will select at least 36 at random to be participate in interviews and focus groups discussions. Exclusion Criteria: Pregnant women: Women who experienced a delivery in the past 12 months, but are \<16 or \>49 years will be excluded. Those who last delivered a child over twelve months ago will be excluded …