MIN/Sp/AU/CAMH3/6 Malaria Page 16 Malawi 45% and, the Gambia 33% have higher IPT coverage principally because they adopted the policy much earlier as shown in figure 2 6 . The potential for scaling up IPT in malaria-endemic countries is linked closely to the coverage and quality of Antenatal Consultation (ANC) programmes since the 2 doses are usually administered at ANC in the second and third trimester of pregnancy. Across the region, more than tow-thirds of pregnant women were attended to at least once by skilled health personnel during their pregnancy. However, very few attend ANC up to 4 times as recommended by WHO while others report too late to receive the two doses. For example, in Uganda (2001) whereas more than 92% of pregnant women attended ANC at least once, only 42% attended up to 4 times while in Kenya (2003) it was 88% and 52% respectively Figure 3: IPT Coverage in select countries 2005-2007. Zamb ia M alawi Gambia Rwan da Ghana Tanzania Togo Ug an da Se ne g al Ce n tral Cô te d 'Iv o ire Guine aZimb ab we Came roo n Guine a Be n in An g o la Sie rra Le on e Burkina Faso 0 10 20 30 40 50 60 70 % Year 2005 data for: Sierra Leone, Guinea, Senegal and Tanzania Year 2006 data for: Burkina Faso, Benin, Cameroon, Zimbabwe, Guinea-Bissau, Côte d'Ivoire, Central African Republic, Uganda, Togo, Ghana, Gambia, Malawi and Zambia Year 2007 data for: Angola and Rwanda Source: Adapted from UNICEF & RBM (2007) Malaria & children progress in Intervention coverage. Additional data from unpublished MIS reports. 6 UNICEF & RBM (2007) Malaria & children progress in Intervention coverage. Status Report on Malaria in Africa 2008