Mozambique

Hospital Central Beira (HCB)

The port city of Beira in the province of Sofala is the second largest city in Mozambique. The city owes its existence to the “Beira corridor” which is a road and railway line constructed from the coast eastwards, providing Zimbabwe with its main access to the sea. The low income residential areas of Beira, which are located below sea level, were built by refugees during the civil war on swampy ground at the mouth of Pungwe River. The characteristic marshy areas with brackish water and periodic flooding during the rainy season create ideal mosquito habitats and are associated with high malaria transmission rates.

The HCB has to manage a high patient load and at times resources are stretched. Due to the HIV-1 epidemic the demands on hospital services have increased. In collaboration with the Ministry of Health of Mozambique, the hospital is part of AQUAMAT, a large multicentre, multinational study on the comparison of parenteral artesunate and quinine in African children admitted to hospital with severe malaria, which follow the success of SEAQUAMAT in adult patients in SE ASIA. The participating centres are located in eight countries; The Gambia, Ghana, Kenya, Mozambique, Tanzania, Uganda, Rwanda, and Nigeria.