Malaria in Mozambique
Malaria is considered to be one of the major public health problems in Mozambique. It is the number one cause of death for children under five. Most of the country is endemic with seasonal transmission throughout the year, reaching its highest point after the rainy season (December to April). Malaria prevalence in rural areas (47%) is more than double the prevalence found in urban areas (19%) (AIDS indicator survey [AIS] 2011). This wide gap is exemplified by the vast difference of 68% and 66% in highest burdened provinces of Zambezia and Nampula to 3% and 2% in Maputo, province and city.
Malaria accounts for 29% of all deaths and 42% of deaths in children under five.
The Demographic Health Survey (DHS) showed a reduction in average malaria prevalence nationally, from 51.5% in 2007 to 38.3% in 2011. The 2011 DHS also showed a reduction in all cause under-five mortality to 97/1000 from 138/1000 in the 2008 Multiple Indicator Cluster Survey (MICS).
National strategic plan 2012-16
The aim of the Malaria Policy and Strategic Plan was to scale up malaria interventions to achieve universal coverage by 2015.
Overall, 66% of households have at least one ITN. This result represents an increase of 16 % compared to DHS 2011 results. Regarding universal coverage - 39% of households have at least one ITN for every two persons resident. Despite this important increase (AIS 2015) coverage remains below the 100% target set by the Ministry of Health.
In 2015, a malaria epidemiological profile of Mozambique was developed with the NMCP. LINK is currently in the process of engaging with the NMCP to develop an updated profile. The profile will be available by the end of 2017.
As part of Phase 2 work LINK has collated evidence from: 164 published articles or MSc/PhD theses and 48 implementation reports/ policies.
Population adjusted malaria prevalence PAPfPR2-10 at district level (2011)
Proportion of population sleeping under an insecticide treated net (ITN) and proportion of households with one net for every two persons or less (2011)