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Background Malaria is the major health problem in Nigeria, accounting for 60% of outpatient consultations and 30% of hospital admission [1]. The Federal Ministry of Health (FMoH) of Nigeria has adopted cost-effective malaria control interventions as tools for achieving ambitious objective of halving malaria burden by 2013 as contained in the National Malaria Strategic Plan (NMSP). The interventions include prompt and effective case management, Insecticide Treated Net (ITN) and Intermittent Preventive Treatment (IPT) while parasitological diagnosis is an adjunct to effective case management. The coverage for these interventions is very low as only 8% of households own ITN, 1.1% of under five children with malaria have access to Artemisinin-based Combination Therapy (ACT) within 24 hours of onset of fever and only 6.5% of pregnant women have access to 2 doses of IPT [2].

Socio-economic inequity in accessing malaria control interventions in Nigeria: analysis of changes between 2003 and 2008