<p>Institution based cross sectional study design was conducted in Gewata and Gimbo district, kaffa zone, Southwest Ethiopia.</p><p>&nbsp;From two district six Health centres and twelve Health Post was selected purposely-malaric endemic area.The key informants were chosen using a purposive sample strategy for both the qualitative and quantitative interview. Data were collected using CDC guideline abstracted checklist and secondary data was collected from counting cases from registration and report to check consistency, and lastly data was analyzed by using Microsoft Excel 2010.</p>