The main purpose of this study was to examine institutional preparedness in handling malaria control in Mwinilunga District of Zambia. It was guided by the following objectives, which were to identify the challenges faced by public health institutions in implementing effective malaria prevention and control measures. To assess the capacity and preparedness of health institutions to respond to malaria outbreaks, including resource availability, staff training, and surveillance systems. To analyse the role of community engagement and behavioural practices in influencing the success of malaria prevention efforts in Mwinilunga District. The study employed a case study design. A total sample of 50 respondents were sampled using probability sampling by purposive sampling method. Semi-structured questionnaires and key-informant interviews were used for data collection. The collected data was analysed in form of descriptive and inferential statistics with the aid of Microsoft Word and Excel. From the research findings, the study highlighted significant gaps in the preparedness and effectiveness of health institutions in Mwinilunga District to manage malaria outbreaks. Addressing these gaps through enhanced training, better resource allocation, and robust surveillance systems is essential for reducing malaria incidence. Engaging the community through culturally relevant education and communication strategies is also crucial for fostering preventive behaviours and improving health outcomes. Strengthening these areas will not only control malaria more effectively but also contribute to the overall improvement of public health in the district. The study recommends that, allocate more resources to ensure the adequate supply of ITNs, RDTs, and antimalarial drugs. This funding should also support training programs, infrastructure improvements, and the establishment of robust surveillance systems, Establish and maintain comprehensive malaria surveillance systems to enable early detection and timely response to outbreaks. This includes improving data collection, analysis, and reporting mechanisms within health institutions. Implement regular evaluations of healthcare workers to identify training needs and improve service delivery. Feedback from these evaluations should be used to inform training programs and support professional development. Expand health education programs using culturally sensitive communication strategies to improve the uptake of malaria prevention measures. Engage local leaders and use local languages to enhance the effectiveness of health education initiatives.