Follow-up At subsequent visits for IPTp and at weeks 34 -36, a simple questionnaire will be administered to assess the presence of malaria symptoms, potential side effects of the study drugs since the last assessment, and bednet use. To ensure that women complete subsequent doses of IPTp, lists of women due for second or third doses will be computer-generated, and they will be reminded at least a week before the next dose is due to attend the ANC. At 34 -36 weeks blood samples will be taken to assess for haemoglobin levels (Hb) and peripheral parasitaemia. Women with severe anaemia (Hb levels <7g/dl) will be referred to the hospital for further investigations and management. Women who do not turn up at the ANC will be followed up at home to collect the blood sample. Blood slides from symptomatic women will be read immediately and women found to have parasitaemia will be given Quinine 10mg/kg 8 hourly for 7 days as per national treatment guidelines.