Malaria during pregnancy is a major cause of poor pregnancy outcomes in Malawi. To reduce the burden of Malaria during pregnancy, Insecticide-Treated Nets are distributed routinely to pregnant women in Malawi. This study aimed at establishing contributing factors and determining rate of usage of Insecticide- Treated Nets distributed routinely in health facilities to pregnant women in Ntchisi.Major contributing factors for Insecticide- Treated Net usage and non-usage were prevention of mosquito bites and not having an Insecticide-Treated Net respectively.This study recommends that interventions promoting usage of Insecticide-Treated Nets factor in the role of malaria prevention in improving pregnancy outcomes.

Keywords : Insecticide-Treated Nets, Malaria, Pregnant Women, Routine Distribution and Usage.