A Baseline survey will assess the patterns of health seeking behaviour for the < 5 children with fever. Types of antimalarials stocked in homes will be established. The prevalence of malaria and anaemia among children < 5 years will be established. In the intervention phase the two different HOMAPAK distribution methods will be implemented and monitored. Active case finding of malaria cases will be combined with passive surveillance. A structured questionnaire will be administered to the caretakers and a finger prick blood sample for Hb and malaria parasitaemia will be drawn from the children. Malaria records at the health facility will be reviewed for number of malaria cases seen and their clinical outcome. In the evaluation phase the impact of the drug distribution methods on antimalarials stocked in the homes,health seeking behaviour and other outcome measures.