Photo: Alvaris Elvis from the Swiss Malaria Group

Severe malaria facts

  • Nigeria represents up to 25% of the malaria burden in Africa
  • Nearly 110 million clinically diagnosed cases of malaria per year 
  • Contributes to ~11% of maternal mortality and 30% of hospitalizations for children <5 years
  • 2015 household survey data show that the prevalence of malaria parasites in children under five years of age was 27 percent, a 36 percent decrease from 2010.

Inpatient and mortality rates

Taken from Nigeria malaria country report 2018

Distribution of malaria cases

Data taken from Nigeria malaria country report WHO 2018



Severe malaria policy and practice

National treatment guidelines
Recommendation Treatment
Strong IV artesunate
Alternative  IM artemether
Alternative IV quinine
Recommendation Pre-referral
Strong IM artesunate
Alternative Rectal artesunate (children)
Alternative IM artemether
Alternative IM quinine
Recommendation Treatment
Strong Injectable artesunate


Populations with low access to treatment

  • North Eastern Nigeria: Due to insurgencies and attacks on health workers there are operational challenges for delivering malaria intervention services
  • Rural communities : Some hard to reach rural communities (~5%) require special measures (boats or camels) to access. Routine service is difficult. 
  • Nomadic population: Population has no fixed location, making them hard to reach. They believe that fever is a Fulani illness that needs no cure; prefer private medicine vendors and avoid health facilities