Extreme weather events and malaria prevention in pregnancy: a mediation analysis of antenatal care and sulfadoxine-pyrimethamine use in two malaria-endemic counties of Kenya

Extreme weather events reduced IPTp₃ + uptake primarily through ANC disruption in unadjusted models, with effects concentrated in Kisumu. However, these associations attenuated after adjustment, suggesting the role of underlying socioeconomic and contextual vulnerabilities.