This retrospective study investigates the prevalence of malaria among pregnant women attending antenatal care at Primary Health Care Dawaki in Bwari Area Council, FCT-Abuja, Nigeria, from January 2023 to December 2024. The study aims to determine the incidence of malaria, identify associated complications, and evaluate the knowledge and practices of pregnant women regarding malaria prevention and treatment. A total of 1,256 pregnant women were included in the study, with 678 (54%) diagnosed with malaria. The majority of cases occurred during the second (45%) and third (38%) trimesters of pregnancy. Malaria was associated with complications such as anemia (62%), low birth weight (28%), and preterm birth (18%). While 72% of women were aware of malaria prevention methods, only 48% reported consistent use of insecticide-treated bed nets (ITNs), and 58% received the recommended doses of intermittent preventive treatment in pregnancy (IPTp). The findings highlight the urgent need for improved malaria prevention and control strategies targeting pregnant women in this region.
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