Treatment of uncomplicated malaria consumed up to 25% of a public health facility’s annual budget, with personnel accounting for a considerable proportion of the total expenditure for uncomplicated malaria alone.

Nearly half of outpatient visits to the facility were treated for uncomplicated malaria, necessitating attention regarding appropriate management for enhanced efficiency.

A high incidence of presumptive diagnosis and treatment contributed significantly to the high treatment costs in the facility.

Overall, there is scope for enhanced efficiency in the utilisation of the facility resources, especially as it relates to personnel.

The high cost estimates emphasize the considerable economic burden of malaria in Nigeria, underscoring the need for continued donor support for effective malaria control in the country.