 The study will be carried out in Hohoe district, Ghana. The major rainy season lasts from April to July and the minor one from September to November. The rest of the year is relatively dry. Malaria is the most common disease in this area. For the past four years malaria has accounted for 32 of the out patient attendances out of which 45 were children under five years. Twenty five percent 25 of malaria cases required inpatient care and 37 of the cases were children under five years and 57 of them reported with anaemia. The peak of OPD malaria and anaemia cases occurs between June and October. 