<p>A total of 2763 case patients were recorded, giving an overall attack rate of 132/1000 population with a case fatality of 1.4/1000 cases. Community Health workers (CHWs) managed 75.6% of cases. An 8.5% (525mm to 574mm) increase in rainfall was recorded between 2018 and 2022. The main vector was Anopheles funestus mosquito. 26.6% sampled mosquitoes expressed genetic pyrethroid insecticide resistance. Engaging in late night outdoor activities [aOR=3.86; 95% C.I 1.64-9.06; p &lt; 0.001] was an independent risk factor associated with contracting malaria.</p>