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Malaria Morbidity and Mortality among Patients Admitted at a Tertiary Hospital in Congo DRC and their Correlates: A Cross-Sectional Study

Jose Gaby Tshikuka1,2*, Maurice Kalukul Nsikungu, Charleine Inkembila Mupupe, Jean Kabwe Kalend, Jeanpy Kwete, Mgaywa Gilbert Mjungu Damas Magafu3, Roy Tapera4, Delphin Mwela Nkola

International financial support to global malaria elimination in the last two decade helped eliminate malaria in few endemic countries, while others made remarkable progress. In Congo DRC, one of the world high burden malaria areas, the status of Roll Back Malaria (RBM) impact indicators is still unclear.

We studied 870 patients admitted at the Kinshasa Referral General Hospital in 2017 and 2018 to determine RBM missing impact indicators.

Malaria distribution by cause of admission was analysed; morbidity, mortality, case-fatality-rates, and correlates of morbidity/mortality were estimated. Morbidity rate was higher in 2018 than in 2017. Mortality and case-fatality-rates were comparable for the two years. Socioeconomic Status (SES) was the most important correlate of malaria morbidity/mortality; lower SES inpatients were more than twice at risk than higher SES inpatients. Malaria morbidity/mortality in DRC was still high at the time of this study, affecting mostly lower SES populations.