<p>From 2017-2021, 563,015 suspected febrile cases 97,902 (17.4%) positive malaria cases, plasmodium falciparum 61,678 (63%). The highest cases from Fentale, Adama &amp; Methehara districts 17,497 (24%), 9590 (13.1%) &amp; 8542 (11.7%) respectively, a total death of 22 at Adama, 12 in Fentale and a CFR of (1%, 0.3%) respectively. 5330 malaria admission, the highest was in Fentale, Adama and Adami Tulu Jido Kombolcha districts, 3177 (59.6%), 2072 (38.9%) &amp; 33 (0.6%) respectively. Malaria with pregnancy 28 (0.02%) &amp; 12,099 of patients were treated clinically. The highest malaria cases treated clinically was in Fentale, Adama &amp; Boset districts, 3530 (29.2%), 1839 (15.2%) &amp; 1816 (15%) respectively. The slide positivity rate (SPR) of 17.4% (97,902).From 2017-2021, 563,015 suspected febrile cases 97,902 (17.4%) positive malaria cases, plasmodium falciparum 61,678 (63%). The highest cases from Fentale, Adama &amp; Methehara districts 17,497 (24%), 9590 (13.1%) &amp; 8542 (11.7%) respectively, a total death of 22 at Adama, 12 in Fentale and a CFR of (1%, 0.3%) respectively. 5330 malaria admission, the highest was in Fentale, Adama and Adami Tulu Jido Kombolcha districts, 3177 (59.6%), 2072 (38.9%) &amp; 33 (0.6%) respectively. Malaria with pregnancy 28 (0.02%) &amp; 12,099 of patients were treated clinically. The highest malaria cases treated clinically was in Fentale, Adama &amp; Boset districts, 3530 (29.2%), 1839 (15.2%) &amp; 1816 (15%) respectively. The slide positivity rate (SPR) of 17.4% (97,902).</p>