<p>A Record review study was conducted. The study period was from July to August 2024 and focused on confirmed malaria cases over the past five years. Data were accessed from the West Arsi database and Public Health Emergency Management Systems. It encompasses <em>Plasmodium species</em>, socio-demographic information, and admission status. Incomplete data were excluded from the analysis. Local health authorities granted ethical approval, and data analysis employed descriptive statistics and graph presentation for clarity.</p>