Pregnant women are particularly susceptible to malaria infections in areas with high transmission rates. Malaria in pregnant women is associated with spontaneous abortion, low birth weight, stillbirth, premature delivery and anemia. Long Lasting Insecticide-treated Nets (LLITN) have been recommended by World Health Organization as an effective tool to combat malaria. This study is aimed at assessing the awareness and access to long lasting insecticides treated net among pregnant women attending ante-natal at Ikenne and Sagamu Local Government Area. The study employed a cross-sectional design and 318 pregnant women were randomly selected from 5 primary health care facilities. The instrument of data collection was a semi-structured questionnaire which sought information on the demographic characteristics, level of awareness and access to insecticide treated nets. The information obtained was analyzed using simple ratios, charts, percentages. The result indicates that 52.8% (168) of the respondents had tertiary level education, 90% had heard of ITNs, mainly through health facilities (54.1%; 172) while 67.9% (216) claimed to have access to the nets. Respondents stated they could obtain the nets through the health facilities (37.4%) and pharmacies (22.6%) while 69.5% (221) reported the nets are affordable. The level of awareness of ITNs among pregnant women in Ogun State was high while the proportion of respondents who had access to these nets was satisfactory. Constant use of ITNs is dependent on the availability. The public health implication of this result is that more work needs to be done by the health workers, stakeholders and government to increase accessibility of ITNs.