Malaria is a life-threatening disease and potentially one of the most serious infections during pregnancy in many sub-Saharan nations. This study was conducted to evaluate the distribution of Plasmodium malaria and anaemia among pregnant and non-pregnant women attending selected health facilities within Makurdi, Benue State.  Two hundred and fifty volunteered pregnant women and 100 non-pregnant women were randomly selected from 4 different health facilities within Makurdi. Five millilitres (5ml) of blood sample was collected via venipuncture into EDTA bottles. The overall total malaria prevalence was 56.3%. Pregnant and non-pregnant women had malaria prevalence of 65.2% and 34% (p>0.05). Age, education and occupation were significant (p<0.05) factors in the distribution of malaria. Trimester was a significant (p<0.05) factor while parities/gravidities were not significant factors (p>0.0%) in the distribution of malaria. There was a significant (p<0.05) difference in the mean Packed Cell Volume (PCV) across trimesters. Pregnancy with malaria was a significant (p<0.05) factor that exacerbated PCV, leading to anaemia. Pregnant women were more susceptible to malaria and anaemia than non-pregnant women in the present study; hence, pregnant women should develop the habit of sleeping under an insecticide-treated net and should avail themselves of antenatal care.