<p>A descriptive cross-sectional study was conducted. We extracted five years of data from July 2017 to June 2021 from the Sheka zone Public Health Emergency Management (PHEM) and District Health Information System two (DHIS2) database. The collected report was checked for completeness and exported to Microsoft Excel for analysis. Descriptive statistics were used to determine the distribution and trends of malaria by tables, charts and graphs</p>