The use of long-lasting insecticidal nets (LLINs) remain a key forecaster of malaria among children under five years. Therefore, this study was designed to determine the effects of LLINs among children below five years of age, attending the Tubah district hospital. Data was collected within four months from February to May 2021. A pre-tested structured questionnaire and the Care Start™ Pf Malaria HRP2 qualitative rapid diagnostic test were used and, the risk of malaria occurrence in exposed children were determined by Chi-square (and Fisher’s exact) test. The percentage of net coverage among the children was 90.91% (280/308) and, 92.86% (286/308) owned LLINs. But the percentage of net usage was 59.09% (182/308). The prevalence of P. falciparum among the children was 25.32% (78/308) and, the prevalence among those with repeated infections was 53.48% (46/86). Bed nets coverage in neighborhoods was associated (P value = 0.038) with reduced risk of malaria meanwhile, higher risk (P value < 0.0001) was reported among those with repeated infections. Therefore, if targeted to provide for all household inhabitants, bed nets coverage can offer community-level protection among children in semi-urban malaria endemic regions like the Tubah Subdivision.

Keywords: Children below 5 years, LLINs, Malaria, Tubah Subdivision