Mozambique

2016: 80,829 severe malaria cases recorded.

Severe malaria cases reduced by 6% from 85,785 (2015) to 80,829 (2016)

Malaria mortality decreased by 32% from 2,465 (2015) to 1,685 (2016)

Leading cause of mortality:

  • 14% of deaths in adults aged 15 years and older;
  • 49% of deaths in children aged 5-14 years;
  • 51% of deaths in children aged 28 days to 4 years;
  • 35% of deaths in children under 1 year.

Responsible for:

  • 57% of paediatric admissions
  • ~23% of in-hospital deaths

Malaria in pregnancy:

  • Contributes to high maternal mortality rates of 408 per 100,000 births
  • Estimated 11% of newborn deaths and 6% of infant deaths may be caused by low birth weight (LBW) associated with malaria in pregnancy

Mortality trend: 

2011 – 2013: reduced mortality rate from 0.10 to 0.8

2014-2015: reduced severe malaria incidence 9% (93,885 to 85,785)

Reduced mortality by 24% (3,245 to 2,465)

Inpatient and mortality rates

Severe malaria distribution

Severe malaria policy and practice

National Treatment Guidelines (2011)
Recommendation Treatment
Strong IV artesunate
Strong IM artesunate
Alternative IV quinine
Recommendation Pre-referral
Strong IV or IM artesunate
Alternative Rectal artesunate
Malaria in pregnancy
Recommendation Treatment
Strong IV artesunate
Alternative IV quinine*

*Due to the risk of hypoglycaemia, IV quinine should be given as a an infusion with 30ml dextrose at 30% over 8 hours