We extracted data from District Health Information Management System II at the Tamale Metropolis from 2017 to 2021. Variables extracted included number of Under-5-year-old (U-5yr) malaria cases (complicated, uncomplicated, suspected, confirmed, and treated without testing), number of LLIN distributed to U-5yr and number of SMC doses distributed. We computed percentages, constructed CUSUM thresholds to compare and analyze trends, and drew geo-spatial maps. SMC and LLIN distribution coverages were estimated adding data from population and housing census 2010 and 2021 to obtain percentages of children with access to an LLIN in a household; and of children under-5-years who received SMC per cycle during transmission season. We compared findings with set WHO targets. 