Assessment of Malaria Case Management Practices Among Community Health Workers in Borno State

Background: Effective malaria case management at the community level is fundamental to reducing malaria-related mortality in the North East geopolitical zone of Nigeria, where access to formal healthcare remains limited. This study assesses the knowledge and practices of community health workers in managing uncomplicated malaria in selected local government areas of Borno State. Methods: A descriptive cross-sectional study was conducted among 180 community health workers using a semi-structured questionnaire and direct observation checklists. Purposive sampling was employed. Quantitative data were analysed using frequency tables and cross-tabulations in SPSS version 25. Results: A significant proportion of respondents demonstrated inadequate knowledge of artemisinin-based combination therapy dosing schedules. Improper use of rapid diagnostic tests was also observed. Supervision gaps and irregular supply of commodities were identified as systemic barriers to optimal case management. Conclusion: Community health workers in Borno State require intensified in-service training, consistent supervision, and reliable medication supply chains to deliver effective malaria case management. Family medicine practitioners should assume a leadership role in mentoring and capacity building within community health structures. Keywords: malaria, community health workers, case management, Borno State, primary care