A community based cross-sectional study was conducted from October to December, 2021. Multi-stage sampling technique was used to recruit 1250 households from five districts out of 21 Malarious districts. Proportional allocations of households were done in each sampled kebeles and systematic sampling was used to draw the study participants. The data were exported and analyzed using SPSS version 23. Variables with a p-value below 0.2 at bivariable logistic regression analysis were entered into multivariable logistic regression model. We presented findings using adjusted odd ratios with 95%CI at p-value of 0.05