A marked decline in the incidence of malaria in a remote region of Malaita, Solomon Islands, 2008 to 2013.

Setting: Atoifi Adventist Hospital (AAH), Solomon Islands, the only hospital in the East Kwaio region.

Objective: To use routine surveillance data to assess the trends in malaria from 2008 to 2013.

Design: Descriptive study of records from (1) AAH laboratory malaria records; (2) admissions to AAH for malaria; and (3) malaria treatments from outpatient records.