Malaria remains a serious public health issue across sub-Saharan Africa, particularly in Nigeria, where it continues to affect millions despite years of control efforts. Strategies such as awareness campaigns, mosquito control, and community-based programs have been introduced to fight the disease. However, the impact of these efforts remains inconsistent, often influenced by differences in public knowledge, access to healthcare, and trust in government-led programs. This study assessed malaria awareness, prevention practices, access to services, and public perceptions of malaria control efforts in selected Nigerian communities. A total of 297 respondents completed a structured Likert-scale questionnaire. Data were analyzed using descriptive and inferential statistics, and findings were compared with insights from existing literature. Results showed a moderate level of awareness (mean = 2.54/4.0), especially regarding common symptoms and basic prevention methods such as using insecticide-treated nets (ITNs) and identifying mosquito breeding grounds. However, gaps remained particularly in understanding how serious malaria can be and in recognizing government initiatives. Preventive practices were similarly moderate (mean = 2.52), with more people adopting low-cost actions like screening windows and using repellents. More essential methods, such as consistent ITN use (mean = 2.3) and indoor residual spraying (IRS) (mean = 2.1), were less practiced, pointing to a disconnect between knowledge and consistent action. Access to malaria services was the weakest area (mean = 2.18). Respondents reported limited access to testing kits, antimalarial drugs, and free or subsidized prevention tools, often due to poor infrastructure, high costs, or lack of outreach. Perceptions of program effectiveness were mixed (mean = 2.42). While some acknowledged improvements, many questioned the fairness, transparency, and sustainability of government programs. Correlation analysis showed: A moderate link between access and service use (r = 0.58), between positive perception and prevention behavior (r = 0.47), and a strong link between community engagement and perceived program success (r = 0.62). Ultimately, while community-led efforts are making an impact, strengthening health systems, ensuring equitable access, and rebuilding public trust are vital for lasting malaria control.
