The iCCM program is functioning in all districts of SNNPR, It is therefore an ideal environment to implement the research, as iCCM services are stable and the program is implemented by the Regional Health Bureau which provides technical advice to this project. There are 18 Health Centers and 102 Health Posts with 204 HEWs in the three selected Woredas. According to latest Malaria Indicator Surveys, awareness of risks associated with febrile illnesses in children and the benefits of early care seeking is low, with only 46.3% of children U5 with fever taken for early treatment. However, care seeking at health post level shows an upward trend, presumably as a result of the increased awareness of the availability and proximity of child health services.