title: Prevalence of malaria among patients attending public health facilities in Maputo City, Mozambique.
abstract: We conducted a health facility-based survey to estimate the prevalence of malaria among febrile patients at health facilities (HFs) in Maputo City. Patients answered a questionnaire on malaria risk factors and underwent malaria testing. A malaria case was defined as a positive result for malaria by microscopy in a patient with fever or history of fever in the previous 24 hours. Among 706 patients with complete information, 111 (15.7%) cases were identified: 105 were positive for Plasmodium falciparum only, two for Plasmodium ovale only, and four for both P. falciparum and P. ovale. Fever documented at study enrollment, age ≥ 5 years, rural HF, and travel outside Maputo City were statistically significantly associated with malaria by multivariate analysis. We found a high prevalence of laboratory-confirmed malaria among febrile patients in Maputo City. Further studies are needed to relate these findings with mosquito density to better support malaria prevention and control.
authors.affiliation: Malaria Branch, Division of Parasitic Diseases and Malaria, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. acq7@cdc.gov
authors.forename: Alexandre
authors.initials: A
authors.lastname: Macedo de Oliveira
authors.forename: Rosalia
authors.initials: R
authors.lastname: Mutemba
authors.forename: Juliette
authors.initials: J
authors.lastname: Morgan
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Streat
authors.forename: Jacquelin
authors.initials: J
authors.lastname: Roberts
authors.forename: Manoj
authors.initials: M
authors.lastname: Menon
authors.forename: Samuel
authors.initials: S
authors.lastname: Mabunda
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005260:Female; D006268:Health Facilities / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D008288:Malaria / Q000453:epidemiology* / Q000469:parasitology / Q000517:prevention & control; D016778:Malaria, Falciparum / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D057147:Mosquito Nets; D009073:Mozambique / Q000453:epidemiology; D015999:Multivariate Analysis; D010963:Plasmodium falciparum; D041122:Plasmodium ovale; D015995:Prevalence; D012307:Risk Factors; D012424:Rural Population / Q000706:statistics & numerical data; D014505:Urban Population / Q000706:statistics & numerical data; D055815:Young Adult