<p>Data from 2018-2023 revealed year-round malaria cases, with increases during certain weeks. Children under five in Kakuma had a lower incidence (16%) compared to those at the Referral Hospital (38%). In Turkana West, the attack rate was 43% (95,756 cases out of 222,282 people) and 22% in Kakuma 4 (6,200 cases out of 27,886 people), with no gender differences noted. Interviews with 46 key respondents identified stagnant water and waste disposal sites as potential mosquito breeding spots in the camp. Net availability and usage were low, and the county lacked sufficient funds to implement malaria Epidemic Preparedness and Response (EPR) guidelines. The inter-reader kappa agreement for slide rechecking was 0.53.</p>