Assessment of Health Education Practices on Malaria Prevention Among Rural Households in Kebbi State

Malaria remains a leading cause of morbidity and mortality in rural Nigeria, particularly in the North West geopolitical zone where inadequate sanitation and limited health literacy compound exposure risks. This study assessed the health education practices relating to malaria prevention among rural households in Kebbi State. A descriptive cross-sectional design was employed, with data collected from 320 household heads across four rural communities in Gwandu Local Government Area. A validated questionnaire and observational checklist were the primary instruments. Results showed that a significant proportion of respondents had low levels of knowledge regarding the malaria transmission cycle, with only 29 percent correctly identifying the Anopheles mosquito as the vector. Health education from community health extension workers was the most trusted information source, though coverage was found to be irregular and largely dependent on outreach schedules. Insecticide-treated net ownership was high at 71 percent, but consistent usage, especially among children under five, was only 44 percent. Logistic barriers, myth-based beliefs about nets causing infertility, and inconsistent engagement from health workers were identified as primary hindrances. The study recommended intensified community-based health education campaigns, especially targeting women of reproductive age, and more frequent deployment of community health extension workers. Regular evaluation of intervention outcomes is also proposed. Keywords: malaria prevention, health education, rural households, Kebbi State, North West Nigeria