In viewed with the Zamfara state antenatal clinic (ANC) data, we observed that the number of pregnant women who had received at least first dose of intermittent preventive treatment (IPT) against malaria were 9.7% and those for two doses were 6.6% respectively. These data was very worry some and indicated that the state was very far behind the roll back malaria target of 80% of intermittent preventive treatment in pregnancy by 2010. Indeed a great challenge in the health sector of the state and may be one of the reasons the state topping the ladder of maternal and infant mortality with over one thousand(1,000) deaths of pregnant women per 100, 000 live births and one hundred and four (104) deaths of children less than five years per 1, 000 live births. The author investigated the situation and found out the strategies to bridge the gaps. This book is a solution to malaria in pregnancy menace in almost the under developing countries. Thank you all.