Ziway is one of the regions in central Ethiopia where unreliable rainfall frequently affectsrnagricultural production. To deal with this problem the government of Ethiopia has initiatedrnthe introduction of small-scale irrigation schemes. However, without proper planning suchrnschemes are known to worsen vector-borne disease endemicity. This necessitates healthrnimpact assessment of irrigation systems to prevent water related diseases. The objective ofrnthe study was to assess the effect of small-scale irrigation schemes on malaria transmissionrnin irrigated areas around Ziway. Blood smear samples were examined at the end of thernmain rainy season and the dry season of 2005/2006. The socio-economic condition of thernirrigated and non-irrigated farming communities was assessed by using interviews based onrnquestionnaires with household heads and agricultural and health workers. Overall irrigatedrnareas had significantly higher (19.2%) (p