This study assessed the knowledge, attitudes, and utilization of long-lasting insecticide-treated nets (LLITNs) among pregnant women and nursing mothers in Ado-Ekiti, Ekiti State. The objectives were to determine the level of knowledge regarding LLITNs, evaluate attitudes toward their use, measure utilization rates, and identify perceived barriers and enablers influencing their adoption. A descriptive cross-sectional design was employed, targeting 237 respondents selected through simple random sampling from two primary healthcare facilities, Oke Ila and Okesa Health Centers. Data were collected using a validated, self-administered questionnaire and analyzed with SPSS version 26 using descriptive and inferential statistics. Findings revealed high awareness of LLITNs, with 96.2% of respondents knowledgeable about their purpose and proper use. Attitudinal assessment showed that most respondents practiced appropriate installation and care, although routine maintenance, such as washing and seasonal retreatment, varied. Utilization patterns indicated that 95.8% of participants owned at least one LLITN, with 62.0% reporting consistent nightly use, while usage during dry seasons remained lower. Perceived barriers included difficulty in hanging nets, heat discomfort, and irregular distribution, whereas enablers encompassed access through health facilities and educational awareness. Significant associations were observed between respondents’ knowledge, attitudes, and perceived barriers with socio-demographic factors such as age, education, marital status, and ethnicity. The study concludes that maternal awareness, education, and practical guidance are critical in promoting consistent LLITN use. Interventions addressing perceived barriers and enhancing knowledge can strengthen malaria prevention efforts among pregnant women and nursing mothers in the study area.

Keywords: Knowledge, Attitude, Utilization, Barriers, Long-Lasting Insecticide-Treated Nets,

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