Background - Epidemiological information regarding the prevalence of various parasiticrninfections in different localities is a key to develop appropriate control strategies. A HighrnKnowledge score about the cause, transmission and habit of practicing the availablerneffective preventive and control measures by the individual households and therncommunity at large could contribute much to the overall reduction of the malaria burden.rnObjectives - To determine the prevalence of malaria and asses the community knowledge,rnattitude and practice about the transmission, prevention and control measures amongrnhouseholds at Pawe Woreda, North West Ethiopia.rnMethods and Materials - A community based, cross sectional study was carried out fromrnNovember to December, 2010. A multi-stage random sampling technique was carried outrnto select representative households. A pre tested structured questionnaire (n=406) andrnblood film examination format (n=403) were used for data collection. Data was enteredrnand analyzed using SPSS 16.0. Proportions, Odds ratio and 95% CI were computed.rnResults - The overall malaria prevalence was 14.7%. Respondents that mentioned at leastrnthree symptoms of malaria constitute 71.5%. Fifty six percent of the respondentsrnassociated malaria with hunger/skipping meals, as a cause and most (67%), affirmed thatrnmosquitoes transimt the disease. Significant proportions (79.8%) were aware thatrnmosquitoes bite during night. Use of bed net and draining of stagnant water werernidentified as major malaria preventive measures by 89.7% and 34% of respondents,rnrespectively. About 69.2% reported that they were using bed nets correctely. Over 50% ofrnthe respondents stated that they would not seek for malaria treatment in 24 hours.rnParticipants who had many years education ( > 5th grade) and those who received healthrneducation reported high malaria Knowledge score, correct use of bed nets and earlyrntreatment seeking habits [OR (95%CI) =4.9(1.4-8), 1.8(1.4-2.5), 2.2(1.7-4.1), respectively.rnLiving in areas which would take 60 minutes and longer distances to health facility wasrnfound to be associated with delay in treatment (OR=1.3, 95%CI= (1.1-2.0).rnConclusions and recommendation - The Prevalence of malaria reported in this studyrnwas higher than reports in many areas of the country. Though malaria knowledge scorernviiirnamong the study participants were observed to be more than 50%, the practice of effectivernpreventive and control measures were relatively poor. Hence, a comprehensive healthrneducation and promotion of community education should be given with a special emphasisrngiven to assure that individual households use ITNs correctly, adapt integrated vectorrncontrol approach, avoid misconception about cause of malaria and seek treatment early.rnKey words - Prevalence, knowledge, attitude, practice, community, early treatmentrnseeking behavior, high knowledge score, correct use of ITNs.