From the symptoms given by the young woman, it is apparent that she is suffering from malaria. Her level of risk is increased due to it being her first pregnancy and the fact that she is in her second trimester. Her symptoms match the ones provided for you in the section "Malaria". If this was not clear to you, please feel free to go back to the page and go over the section again.

From the symptoms of tiredness, low energy levels, shortness of breath, pale skin and brittle nails it is clear that the young woman is suffering from iron deficiency anaemia. As mentioned in the section "Nutrition and malaria" , risk of anaemia is increased during pregnancy as the mother is providing iron to the foetus. Anaemia risk is also increased in malaria sufferers as the erythrocytes in the sufferer digest the red blood cells in the body, which remove the iron from the system. If this continues it puts severe health impacts on the mother and baby.
A course of treatment for the mother to cure the P.falciparum malaria should be recommended in the form of Artemisinin-based combination therapies.

After the Malaria has been treated, changes in the womens diet should be recommended so that she can include foods that are rich in iron where possible. Meats and fish should be recommended as these sources of iron are the easily absorbed in the body. If this is not possible then green leafy vegetables such as spinach must be consumed. This can be combined with sources of vitamin C such as paw paw (papaya) to help increase iron absorption. Legumes and fortified grains may also help to increase her level of iron intake. Recommendations should also include advice to reduce her consumption of tea, as tea is known to inhibit iron absorption.

By treating malaria and making these changes in her diet, it is hoped that the young womens iron intake will return to a level that will remove her symptoms and reduce the health risk of herself and her child.