Maize and groundnut are important crops for both commercial and smallholder farming in Zambia, whose production is being threatened by their susceptibility to aflatoxin contamination. Despite this threat, there is limited knowledge of household growers' behaviour and applications related to suitable agricultural management practices, as well as growers’ perception and knowledge of aflatoxins and their effects. This limited knowledge has major implications for acute human health effects such as liver cirrhosis and death, cancer, stunting in children, immune system suppression, impaired food conversion, and reduced livestock productivity and/or increased livestock mortality.This cross-sectional survey of smallholder household growers in Zambia was conducted to identify the gaps in the knowledge and application of aflatoxin-associated agricultural management practices. A sample of 3865 maize- and groundnut-producing smallholder farm households were selected in 27 priority districts implementing the Scaling Up Nutrition (SUN)/First 1000 Most Critical Days Programme (MCDP) Phase II. Among the five pre-harvest management practices for maize and groundnuts – namely, controlling weeds, timely planting, controlling pests, and applying basal and top-dressing fertilisers – few households (8%) reported practising all of them. Among the recommended techniques for harvesting and handling maize and groundnuts, the most common harvest-management practices under maize production were drying (95.2% of households) and sorting at harvest (72%). In contrast, very few households (2%) practised at least three of four maize harvest management practices. Similarly, very few households (10%) practised at least 4 of the 6 groundnut harvest-management measures. Comparatively, post-harvest and storage management practices were more commonly practised, although most households did not practise all six post-harvest and storage management measures.Overall, very few households (1% for maize and 4% for groundnuts) were observed to be practising at least 12 of the 14 recommended management practices, implying that there are considerable gaps in the implementation of aflatoxin-related management practices along all stages of maize and groundnut production, consequently posing a significant threat to health and contributing to malnutrition levels in Zambia.As such, there is a need to develop tailored interventions and trainings for farming households, extension officers, and frontline health workers to prevent and manage aflatoxin contamination at different stages of crop production. Furthermore, the elimination of policy constraints, practical barriers of affordability and consumer awareness, and the value attached to the commercial product of Aflasafe, noted to reduce aflatoxin contamination by 80–100%, are of utmost urgency.