Introduction: Malaria in Pregnancy has detrimental effects on both the mother and the unborn child. Despite concerted efforts to prevent it, prevalence of malaria in pregnancy and its attendant complications are still very high in endemic region. This study was done to assess the prevalence of malaria and its associated factors in pregnant women.

Method: This is a hospital-based cross-sectional study conducted among pregnant women attending a tertiary hospital Antenatal clinic. Questionnaire was administered to consented participants.  Thick and thin films stained with giemsa stain viewed under microscope were used for detecting malaria parasites.

Result: The prevalence of malaria was 32.9%, Age, Religion, and the use of Insecticide-treated mosquito nets were significantly associated with Malaria in pregnancy; p-value <0.001.

Conclusion: The Prevalence of Malaria infection is high among the pregnant women. Targeted programmes are needed for control of malaria among primigravida and women in their 3^rd trimester of pregnancy. More women should be encouraged to use mosquito net.