The global health burden of malaria has been substantially reduced recently. Encouragedrnby this, many endemic countries set a plan of eliminating or at least entering a preeliminationrnphase and some even declared malaria free. Ethiopia planned to eliminate therndisease in selected low-transmission settings by 2020 and many other endemic areas arernset to be in a pre-elimination phase soon. For this to be achieved regular surveillance ofrnmalaria status across the country is necessary. The objective of this study was part of thisrnnationwide effort. As such, the study assessed malaria status in Berahle Health Center inrnnorthern Afar, northeast Ethiopia where malaria is endemic. Patients visiting the HealthrnCenter between September 2016 and January 2017 and suspected of malaria werernsuccessively recruited. Blood samples were drawn and examined following standardrnprocedures. Reported malaria cases in the past five years (2012-2016) were also extractedrnfrom the Health Center record system. Out of 1600 febrile patients tested betweenrnSeptember 2016 and January 2017 prospectively, 310(19.4%) were malaria slidepositive.rnOf this 202(65.2%) were attributed to Plasmodium falciparum and 108(34.8%)rnto P. vivax. The retrospective data revealed 8868(28.8%) malaria slide-positive cases inrnthe past-five years with 88.4% P. falciparum and 11.6% P. vivax cases. Malaria slidpositivityrnwas not significantly associated with age. Although a declining trend wasrnnoticed the number of confirmed malaria cases was considerable. Incrimination of localrnrisk-factors is in urgent need to further scale-up targeted control interventions to put thernstudy area on track to at least a pre-elimination phase.rnKeywords: Malaria, Plasmodium, Berahle, retrospective, prospective