 PHASE ONE: Meetings and discussions were held with civic leaders, women leaders, and community resource persons in the study areas to present the study and solicit consent from the community and opinion leaders. A formative study was carried out to explore the communities ideas about approaches to deliver malaria prevention and to assess perceptions, beliefs and practices associated with malaria prevention in pregnancy. Focus group discussions FGDs and in-depth interviews targeting pregnant women, opinion leaders, and men and women in different age groups were conducted in each sub-county. FGDs had 6-7 participants within the same age range and sex. In-depth interviews were held with DSVs, TBAs, opinion leaders, traditional healers, CRHWs, APMs and health workers in each sub-county. A survey was conducted in the 25 parishes to get a register of the number of women in the reproductive age group and the number of women currently pregnant. The total population in the 25 parishes is approximately 75,000 people of which 43 are in the reproductive age group. Pregnant women were given cards with personal identification numbers PINs and a GPS map was constructed for easy tracking. 