Malaria, a blood parasitic disease is a leading cause of mortality and morbidity particularly among children and pregnant women because they are most at risk in many developing countries, especially those in Sub-Saharan Africa. Most of the deaths due to malaria could be averted if care-takers recognized the signs and symptoms of malaria and instituted appropriate measures without delay. Early recognition followed by correct management is a key strategy for malaria control in endemic areas. The effectiveness of this strategy requires an understanding of care- seeking patterns including the actions the care-takers initiate in response to an episode of childhood febrile illness since they greatly influence the severity of the disease. A health facility-based descriptive cross-sectional study was carried out in a rural District of Kenya (a malaria endemic area), where caretakers seeking treatment for their children aged under-five years who tested positive for malaria parasites were...