There were 228 million cases of malaria in 2018 compared to 231 million cases in 2017. The estimated number of malaria deaths stood at 405 000 in 2018, compared with 416 000 deaths in 2017.(world malaria report 2019).The WHO African Region continues to carry a disproportionately high share of the global malaria burden. In 2018, the region was home to 93% of malaria cases and 94% of malaria deaths. In 2018, 6 countries accounted for more than half of all malaria cases worldwide: Nigeria (25%), the Democratic Republic of the Congo (12%), Uganda (5%), and Cote d'Ivoire, Mozambique and Niger (4% each).

Children under 5 years of age are the most vulnerable group affected by malaria; in 2018, they accounted for 67% (272 000) of all malaria deaths worldwide.(world malaria report 2019)

• Adequately treat all individuals with confirmed malaria case seen in rural settlements with approved antimalarial drugs
• Enhance timely availability of appropriate antimalarial drugs and commodities required for prevention and treatment of malaria in Nigeria wherever and whenever they are needed
• Working with hard to reach communities for effective prevention and control measures.
• Ensure adequate distribution of Insecticide Treated Nets and Intermittent Preventive Treatment for pregnant women in the Rural areas
• Education on community hygiene and sanitation