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Organization based cross-sectional research was performed at antenatal treatment (ANC) departments of Gynecology and Obstetrics, and MCH at Wollega University Referral Hospital from July 15-22, 2019. A systematic random sampling strategy was utilized to choose the research unit. The data were collected utilizing questionna interval of 2 years, having a history of malarial attack in past times 12 months, being involved with everyday laborer occupation were factors associated wit