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Policy brief on improving access to artemisinin-based combination therapies for malaria in Mozambique

  • Francisco Mbofana (a1), Gertrudes Machatine (a2) and Celeste Moreira (a3)

Malaria is a major cause of morbidity and mortality in Mozambique. Approximately 6 million cases are reported each year. Malaria accounts for approximately 40 percent of all outpatient visits and 60 percent of pediatric hospital admissions. It is the leading cause of death among children admitted to pediatric services. Malaria transmission takes place year round with a seasonal peak extending from December to April. More than 18.5 million people in Mozambique are considered to be at-risk of malaria, including an estimated 3.6 million children less than 5 years old and almost 1 million pregnant women (13). The Presidential Malaria Initiative (PMI) -supported Malaria Indicator Survey, conducted in 2007, found the national prevalence of malaria parasitemia among children 6 to 59 months old to be 38.5 percent, with a range by province from 60.4 percent in Nampula to less than 10 percent in Maputo. Among pregnant women, the parasite prevalence was 16.3 percent, with 30.1 percent of women in their first pregnancy demonstrating parasites on blood slides (11).

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1. Bang, AT, Bang, RA, Baitule, SB, Reddy, MH, Deshmukh, MD. Effect of home-based neonatal care and management of sepsis on neonatal mortality: Field trial in rural India. Lancet. 1999;354:19551961.
2. Bang, AT, Reddy, HM, Deshmukh, MD, Baitule, SB, Bang, RA. Neonatal and infant mortality in the ten years (1993 to 2003) of the Gadchiroli field trial: Effect of home based neonatal care. J Perinatol. 2005;25:S92S107.
3. Bhutta, ZA, Darmstadt, GL, Hasan, BS, Haws, RA. Community-based interventions for improving perinatal and neonatal health outcomes in developing countries. Pediatrics. 2005;115 (Suppl 2):519617.
4. Borghi, J, Thapa, B, Osrin, D, et al. Economic evaluation of a women's group intervention to improve birth outcomes in rural Nepal. Lancet. 2005;366:18821884.
5. Buchan, JMD, Dal Poz, MR. Role definition, skill mix, multi-skilling, and new workers. In: Ferriho, P, Dal Poz, M, eds. Towards a global workforce strategy: Studies in health services organisation and policy. Antwerp: ITG Press; 2003;275300.
6. Gericke, CA, Kurowski, C, Ranson, MK, Mills, A. Feasibility of scaling-up interventions: The role of intervention design. Disease Control Priorities Project Working Paper No. 13. London: London School of Hygiene and Tropical Medicine; 2003.
7. Haines, A, Sanders, D, Lehmann, U, et al. Achieving child survival goals: Potential contribution of community health workers. Lancet. 2007;369:21212131.
8. Hongoro, C, McPake, B. How to bridge the gap in human resources for health. Lancet. 2004;364:14511456.
9. Kindane, G, Morrow, RH. Teaching mothers to provide home treatment of malaria in Tigray, Ethiopia: A randomised trial. Lancet. 2000;356:550555.
10. Lewin, SA, Dick, J, Pond, P, et al. Lay health workers in primary and community health care. Cochrane Database Syst Rev. 2005;1:CD004015.
11. Mabunda, S, Casimiro, S, Quinto, L, Alonso, P. A country wide malaria survey in Mozambique I. Plasmodium falciparum infection in children across different epidemiological settings. Malaria J. 2008;7:216.
12. Manandhar, DS, Osrin, D, Shrestha, BP, et al. Effect of a participatory intervention with women's groups on birth outcomes in Nepal: Cluster-randomised controlled trial. Lancet. 2004;364:970979.
13. Ministry of Health. Malaria situation analysis in Mozambique report. Maputo: Ministry of Health; 2007.
14. Ministry of Health. Strategic plan for malaria control in Mozambique 2006–2010. Maputo: Ministry of Health; 2005.
15. Ministry of Planning and Development. Poverty and millennium development goals. Statistic information 2009. Maputo: MPD; 2009.
16. National Institute of Statistics and National Institute of Health. National causes of deaths community survey report. Maputo: NIS/NIH; 2009.
17. Patouillard, E, Goodman, CA, Hanson, KG, Mills, AJ. Can working with the private for-profit sector improve utilization of quality health services by the poor? A systematic review of the literature. Int J Equity Health. 2007;6:17.
18. Sazawal, S, Black, RE. Effect of pneumonia case management on mortality in neonates, infants, and preschool children: A meta-analysis of community-based trials. Lancet Infect Dis. 2003;3:547556.
19. Walker, DG, Jan, S. The cost-effectiveness of community health workers: A review of the evidence and methodological critique. J Community Health. 2005;30:221229.
20. Winch, PJ, Gilroy, KE, Wolfheim, C, et al. Intervention models for the management of children with signs of pneumonia or malaria by community health workers. Health Policy Plan. 2005;20:199212.
21. World Health Organization. Guidelines for the treatment of malaria. Geneva: World Health Organization; 2006.
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International Journal of Technology Assessment in Health Care
  • ISSN: 0266-4623
  • EISSN: 1471-6348
  • URL: /core/journals/international-journal-of-technology-assessment-in-health-care
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