Although there was a significant agreement in the outcomes of RDT and microscopy tests, the discriminatory accuracy of RDT was weak.
Improvement of socio-economic development and quality of life is paramount to achieving malaria free Nigeria.
A large proportion of pregnant women in this study were not sleeping under ITNs.
Non-improved housing predicted malaria infection among U5s in Nigeria. Improved housing is a promising means to support a more integrated and sustainable approach to malaria prevention.
Parasitaemia is higher in HIV-infected than uninfected children.
The study recommends that efforts designed to promote consistent use of bed nets should be state-specific and include strategies targeting ideational variables.
The level of knowledge of respondents about LLIN was high and the utilization of LLIN among U5 was above average, however, it is still far below the 80% target. Efforts should be made to further improve utilization of LLIN through intensified promotion and health education.
The study demonstrated positive perception to RDT use by HW and among community members with good compliance rate among health workers at the PHC level.
The capacity available for vector control research and surveillance at institutional level in Nigeria is weak and require further strengthening.