Abstract

Malaria remains a significant global health burden, particularly among pregnant women, with adverse outcomes
such as maternal mortality and low birth weight. This study comprehensively investigates the multifaceted factors
influencing malaria prevalence among pregnant women attending Nyabubare Health Centre III in Bushenyi
District, Uganda. Utilizing a mixed-methods approach, data were collected through structured interviews and
documentary review from a sample of 86 respondents, including 80 pregnant women and 6 health workers.
Descriptive analysis revealed poverty, deficiency in malaria control measures, low education levels, environmental
factors such as swamps and floods, age, limited access to health facilities, and climatic changes as major
determinants of malaria prevalence among pregnant women. Despite a relatively low malaria prevalence,
knowledge gaps regarding malaria prevention were identified. The findings underscore the urgent need for
targeted public health interventions, including subsidies for preventive equipment, sustained information
campaigns, and improvements in healthcare services to enhance malaria prevention and control among pregnant
women in the region. This study provides valuable insights for policymakers and healthcare practitioners to
develop effective strategies to mitigate the impact of malaria on maternal and child health in resource-limited
settings.