Fig 2. The incidence of malaria hospitalisations and deaths from malaria and uncomplicated clinical malaria over the study period by month of year.

Incidence of malaria hospitalisations and deaths from malaria (a) and clinical malaria (b) by calendar month over the study period. (c) shows the incidence of uncomplicated malaria during the period when SMC was delivered (shown by vertical dashed lines) amongst children who had received SMC within the previous 28 days or who had not received recent SMC (no SMC in the previous 35 days). Incidence rates are presented as per 1,000 person-months at risk rather than per 1,000 person-years and include repeat events in the same child, provided the healthcare contact occurred more than 7 days apart. Vertical bars show 95% CIs. The analysis of children with ‘no recent SMC’ was restricted to children who received 3 courses of SMC during that intervention year (i.e., this excludes children who missed SMC on more than one occasion). Malaria hospitalisations and deaths from malaria were defined as hospital admission with a diagnosis of malaria and blood-slide–or RDT-confirmed P. falciparum infection or deaths for which malaria was listed as the primary diagnosis. Clinical malaria was defined as attendance at study health facility with a history of fever or measured temperature ≥37.5 °C, with malaria infection confirmed by RDT. CI, confidence interval; RDT, rapid diagnostic test; SMC, seasonal malaria chemoprevention.