In this study, only 30% of children took the recommended first-line treatment.
Three types of malaria transmission patterns were observed: (1) low importation and low local transmission; (2) high importation and low local transmission; and, (3) low importation and high local transmission.
Streams were prolific breeding habitats of Anopheles mosquitoes followed by ponds and swamps in the dry seasons.
A low proportion of malaria-suspected patients sought treatment within 24 h of fever onset compared to the national target.
The number of index cases per kebele may enhance RACD efforts to detect additional malaria cases in low transmission settings
The common G6PD*A− (G202A) or Mediterranean (C563T) variants were not observed in this nationwide study.
There was a high degree of genetic diversity with multiple clones in P. falciparum isolates from Northwest Ethiopia suggesting that there is a need for improved malaria control efforts in this region.
As the prevalence of G6PD deficiency seems low in this area, the use of 8-aminoquinolines should be encouraged.
Malaria is still among the major public health problems in the country. P. falciparum is the dominant species in the study area followed by P. vivax.
The painted wall surface and standard spray showed better residual efficacy.