“…Studies conducted in Dembecha, west Gojjam zone of Amhara regional state and Jardega Jarte district, Horo guduru Wollega zone of Oromia regional state, Ethiopia [ 14 , 15 ], support the overall finding of malaria prevalence over the last seven years in Maksegnit Health Center. However, our finding is lower than other retrospective studies conducted in Adi Arkay [ 16 ], in selected zones of Amhara regional state [ 17 ], Bale zone [ 18 ], Kersa district of Oromia region [ 19 ], Gorgora [ 20 ], Jimma [ 21 ], Kola Diba [ 22 ], Guba [ 7 ], Tselemt [ 23 ], and Wolaita [ 24 ], with a positivity rate ranging from 21.8 to 66.7%. On the contrary, studies conducted in Arsi Negelle (11.45%), Ataye (8.4%), Bahrdar (5%), Bichena (9.28%), Halaba (9.5%), Woreta (5.6%), Libokemkim (10.9%), Wolketie (8.56%), and Kombolcha (7.52%) reported lower malaria cases [ 25 – 33 ] when compared with our finding.…”