About 45,067 (51%) of populations lived in a malarious area. The ITN coverage of the District was 10651(92%) households and the Health service coverage of the District was 100% for Health centers and Health posts and no primary hospital for the district. The majority of reported malaria species during the study period were Plasmodium vivax which accounted for 56.5% of the total malaria cases. The slide positivity rate of malaria in the Akaki District was 26.2%. The report completeness and timeliness were 85% and 78% respectively.