Severe Malaria facts

  • Malawi has the 5th highest number of malaria cases in Eastern and Southern Africa (8% of cases in that region)
  • Malaria cases have increased by close to 350 000 between 2013 and 2015 while malaria-related deaths have declined by almost 15% between 2013 and 2017.
  • Malaria-related deaths have declined by almost 61% between 2010 (59 per 100,000 population) and 2016 (23 per 100,000 population)
  • In 2016, malaria accounted for 46% of all in-patient cases and 24% of all in-patient deaths
  • Severe anaemia decreased from 12% to 6% between 2010 and 2014
  • 46% of the rural population lives more than five kilometers from the nearest health facility and is considered hard-to-reach

Inpatient cases and deaths caused by severe malaria

Distribution of malaria cases

Severe malaria policy and practice

National treatment guidelines
Recommendation Treatment
Strong IV artesunate
Alternative IM artesunate
Alternative IV quinine
Recommendation Pre-Referral
Community level Rectal artesunate
Health facility  IM artesunate
Health facility alternative Rectal artesunate
Health facility alternative IM quinine
First trimester pregnancy
Recommendation Treatment
Strong IV quinine
Alternative IM quinine