Nearly 1.5 million Malaria cases are reported annually in India. At 0.4 million, Odisha accounts for 4% of the Malarial Disease Burden. Anopheles Fluviatilis is the predominant vector and the State has a high burden of Falciparum Malaria i.e > 85%, causing complicated malarial disease. Odisha accounts for 18 % of the total malarial deaths in India (192 of 1068).12 Based on several drug resistance studies, most of its districts have been declared chloroquine resistant. Malaria morbidity and mortality maximally affect hilly areas, populated by Tribal communities where the penetration of health service is weakest and the health seeking behaviour is often poor. In these malaria endemic areas children below 5 years and pregnant women are the most vulnerable.