A community-based household survey was conducted to investigate the ownership and utilization of
malaria control commodities in the Federal Capital Territory (FCT), Nigeria, using a multifaceted fourphase
operational research. The main objectives were to investigate access to and utilization of health
services in the capital of the country, to evaluate Insecticide-treated nets (ITN)/long lasting insecticidal
nets (LLIN) household coverage including ownership and usage and to assess progress towards
achieving LLIN target in the FCT. A multifaceted four-phase operational research, consisting of a
community-based household survey describing ownership and use of LLINs, a review of hospital
records on malaria disease, the prevalence of malaria among children under the age of five years and
use of sulphadoxine-pyrimethamine as intermittent preventive treatment in pregnancy (IPTp), was used
to investigate the extent of access to health services and utilization of malaria control strategies
adopted in the FCT with reference to the Roll Back Malaria initiative. Of the 585 households surveyed,
only 158 (27%) reported ownership of LLINs and 427 (73%) not owning LLIN (?² = 3.83, p < 0.05). Only
2% of adults, 7% under-fives and 19% of pregnant women, respectively slept under LLINs the night
before survey. Urban under-fives were 12 times more likely to seek treatment for malaria than their
semi-urban counterparts (?² = 13.2, p = 0.0002, OR = 12.3, CI = 2.47, 61.35). There was no significant
difference in the proportion of women in urban, semi-urban and rural location, who took antimalaria
medication during last pregnancy or those who did not. Information, education and communication
targeting health promotion on the use of LLIN in FCT could have a salutary impact on the well-being of
rural, semi-urban and urban dwellers in Federal Capital Territory, Abuja, Nigeria.