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Table 3 Hospital deaths due to infection with Plasmodium falciparum and malaria case fatality rates in children < 5 years of age, observed during routine surveillance in 15 IRS districts in 2007 and 2008 in Zambia

From: Impact assessment of malaria vector control using routine surveillance data in Zambia: implications for monitoring and evaluation

Sentinel site

% IRS Coverage

Hospital malaria deaths as a proportion of all hospital deaths, (%)(n)(95% CI)

P(2007–2008)

Case Fatality Rate, (%) (n)(95% CI)

P(2007–2008)

2007

2007

2008

2007

2008

Chililabombwe

95

45.0(20) [23.20-66.80]

33.3(12) [6.66-60.0]

0.186

13.8(544) [10.89-16.69]

20.4(196) [14.77-26.05]

0.259

Chingola

97

32.6(43) [18.55-46.57]

44.0(25) [24.54-63.46]

0.193

9.6(1446) [8.12-11.14]

15.6(706) [12.90-18.26]

0.232

Chongwe

100

62.5(56) [49.82-75.18]

61.5(13) [35.09-87.99]

0.929

27.8(1260) [25.31-30.25]

19.3(414) [15.52-23.12]

0.216

Kabwe

80

38.6(57) [25.96-51.24]

31.5(92) [22.03-41.01]

0.397

19.6(1123) [17.27-21.91]

30.8(943) [27.80-33.70]

0.115

Kafue

96

40.6(32) [23.61-57.65]

41.9(31) [24.57-59.31]

0.888

14.2(913) [11.97-16.51]

20.6(630) [17.47-23.79]

0.278

Kalulushi

93

27.9(43) [14.50-41.32]

63.6(11) [35.21-92.07]

0.0002

11.5(1045) [9.55-13.41]

10.3(682) [7.98-12.54]

0.797

Kazungula

95

42.9(7) [6.20-79.52]

100(1) […-…]

<0.0001

21.9(137) [14.97-28.83]

28.6(35) [13.60 -43.54]

0.346

Kitwe

100

57.8(36) [36.47-69.09]

46.1(180) [38.83-53.39]

0.251

12.9(1468) [11.16-14.58]

73.6(1127) [71.08-76.22]

<0.0001

Livingstone

94

37.0(54) [24.16-49.92]

16.7(12) [4.42-37.76]

0.0056

48.1(416) [43.28-52.88]

17.7(113)

[10.66-24.74]

0.0002

Luanshya

93

50.0(58) [37.13-62.87]

50.0(66) [37.94-62.06]

1

36.6(792) [33.26-39.38]

49.8(663) [45.96-53.58]

0.156

Lusaka

94

64.6(650) [60.94-68.30]

20.7(270) [15.90-25.58]

<0.0001

55.4(2703) [62.91-65.81]

18.2(3075) [16.85-19.57]

<0.0001

Mazabuka

100

38.1(113) [29.10-47.00]

43.2(44) [28.54-57.82]

0.572

16.5(2602) [15.06-17.92]

21.0(905) [18.34-23.64]

0.462

Mufulira

91

31.8(44) [18.06-45.58]

35.2(54) [22.45-47.93]

0.678

18.7(747) [15.94-21.54]

22.8(833)

[19.96-25.66]

0.525

Ndola

90

76.6(662) [73.36-79.82]

62.4(157) [54.84-70.00]

0.228

78.4(6468) [77.39-79.39]

25.9(3791) [24.51-27.29]

<0.0001

Solwezi

86

67.8(115) [59.29-76.37]

63.0(27) [44.74-81.18]

0.675

26.9(2895) [25.29-28.53]

12.1(1407)

[10.38-13.78]

0.018

All

94

63.4(1990) [61.25-65.49]

38.7(995) [35.66-41.72]

0.015

50.3(24559) [49.71-50.97]

25.8(15520)

[25.10-26.48]

0.015

  1. (%) = Malaria deaths as a proportion of all hospital confirmed cases, n=Total number of confirmed hospital cases.