Malaria continues to pose a significant public health challenge in many low- and middle-income countries, particularly in sub-Saharan Africa and Southeast Asia. Despite progress through national and international efforts, the persistence of the disease in high-transmission areas highlights the need for innovative, context-specific solutions. Traditional top-down strategies often fail to address the unique ecological, socioeconomic, and cultural factors that shape malaria transmission in diverse communities. Recent trends point to the growing importance of localized, participatory approaches that empower communities to take an active role in malaria control. These approaches recognize that sustainable progress requires more than clinical interventions which demands community ownership, trust, and integrated solutions rooted in local realities. This chapter focuses on sustainable community-based approaches for the early detection and management of malaria. It explores the role of community health workers (CHWs), the use of rapid diagnostic tests (RDTs), mobile health technologies, and local surveillance systems in improving timely diagnosis and treatment. Emphasis is placed on capacity building, health education, and community empowerment, with specific attention to gender equity, traditional knowledge, and participatory planning. Additionally, the chapter examines biological control strategies (such as the deployment of Bacillus thuringiensis, larvivorous fish, and entomopathogenic fungi) as environmentally sustainable alternatives to chemical vector control, especially when integrated into community-led initiatives. The chapter concludes with practical insights, case studies, and recommendations for policymakers, development partners, and researchers. It calls for increased investment in scalable, community-centered strategies that align with broader goals of malaria elimination and health system strengthening.