Summary :
As per inclusion and exclusion criteria based on World Health
Organization formulated case definitions 1303 cases were
screened. Out of these 909 severe malaria cases were selected at
3 different categories of hospitals of Chittagong zone. Hospitals
were one Tertiary Health Care, 2 Secondary Health Care and 4
Primary Health Care providers which were, Chittagong Medical
College Hospital, District General Hospitals and Thana Health
Complex Hospitals respectively. The study area is the most
malaria endemic zone of Bangladesh at the south-eastern part of
the country. In this zone a National Malaria Control Program
based on WHO sponsored country specific `Early Diagnosis
Prompt Treatment' strategy has been in operation since 1994. In
view of the high mortality and morbidity in presence of good care
providing network and availability of effective drugs, this study
envisaged documenting some preadmission factors in order to
describe and if possible relate their influence on the outcome of
SM cases. Moreover it tried to document the pattern and outcome
of severe malaria cases at different tiers of hospitals. It was done
over a period of 6 months in 1996 covering peak and off-peak
seasons of malaria transmission. Data collector, who were