INTRODUCTION: Antenatal Care service boosts access for the provision of care to pregnant women in order to prevent problems that could endanger the lives of the mother and her unborn baby. It is however not enough for a pregnant woman to visit Antenatal Care facilities to prevent problems; she should meet minimum requirements, be offered necessary components of Antenatal Care and be satisfied with services rendered to her. This study, analyses quality based on 10 nationally recommended and recognized components of antenatal care in Nigeria, patient satisfaction and health worker competency.
METHODS: A cross sectional study design was used with pregnant women spread across health facilities in the FCT. Quality of Antenatal Care was analysed based on the receipt of at least 8 of 10 Antenatal Care components, Patient satisfaction using Net Promoter Score Methodology and health worker competency.
RESULTS: Majority of respondents were of age group 26 to 30 years and constituted 45.3% of pregnant women in the study. The mean age of respondents in the study was 27.47±4.76years and 94.6% were married. Highest proportion of attendance was 56.7% and constituted medium income earners.
Proportion of components received by respondents was lowest for Intestinal Parasitic Drugs (IPDs) with 48% and highest with 87% for Prevention of Mother to Transmission (PMTCT) Services, closely followed by Iron supplements at 86%. Patient satisfaction was 69.3%.
Twenty five percent of health workers observed did not review clinic records of clients before starting consultation sessions. Also, 50% did not informs mothers about her the health condition of the foetus, while 25% did not inform the pregnant women on the dangers of prescribed medicine during pregnancy.
DISCUSSION AND CONCLUSION: The quality of Antenatal Care services in FCT is still sub-standard with variations in social-economic status and area variations.