<p>Prompt and effective treatment is a cornerstone for malaria control in Kenya. At least 10,700 malaria-related deaths reported annually in Kenya are attributed to delays in diagnosis and treatment. Community malaria case management (CCM) by Community Health Volunteers (CHVs) is among the strategies employed by National Malaria Control Program to help reduce malaria mortality in Kenya. Despite the introduction of the program in Siaya in 2012 the County still has a prevalence of 29% which is considerably higher than the National prevalence (8%). CCM has not been evaluated in the county hence, this study sought to assess whether CHVs manage malaria cases per the National Malaria Treatment guidelines.</p>