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The aim of this study was to assess the Service quality of focused antenatal care at health

care facilities in Bauchi State. Five research objectives were stated: to determine the

availability of material resources for focused antenatal care, to assess the capacity of human

resource for focused antenatal care, to assess the quality services of focused antenatal care,

to assess the focused antenatal care services utilization and to assess the level of clients‘

satisfaction with focused antenatal care services .A cross sectional descriptive design was

adopted. A total of three hundred and eighty four pregnant women that attended antenatal

care clinic in twenty two health care facilities in Bauchi State were recruited. Multi-stage

sampling technique was used. The data collected using semi-structured questionnaire and

observational checklist through face to face interview and audit observation check list

during the period of first May to the end August 2016. Descriptive statistics was used.

Donabedian Bruce quality model (1980)     was adopted as a theoretical framework. The

result revealed that: Eighty percent of the respondents were over 35 years old, 66% of them

were Hausa/Fulani, almost half of them had secondary school certificate, and more than

half of them had parity above six times. Eighty percent of the sample utilized focused

antenatal care always.    Only 43% of material resources in the health facilities were

available and functioning. The human resources rate in the health facilities were 0.81, 0.5,

2.7 and 1.8 Doctors, Nurses, Midwives and CHEW respectively. The quality of care in the

studied health facilities was 54.2% satisfactory. The total mean satisfaction was 2.3 /4 .It

can be concluded that: there were inadequate material resources, shortage of human

resources , high utilization of focused antenatal care services and the client satisfaction

was little bit low . Recommendations: Government should Ensure adequate material

resources for focused antenatal care services in each facility in Bauchi State, Ensure


adequate health care providers to improve quality focused antenatal care services, Periodic

In-service training ,monitoring and evaluation to improve the quality services, Health

education for the clients to increase the awareness and the importance of focused antenatal

care and Regular assessment of the level of clients‘ satisfaction is needed to improve the

lacking areas

Keywords: Focused Antenatal care, Quality of services, client Satisfaction. Healthcare




1.0 Background to the study

Maternal mortality is a global issue as a result of low focused antennal care; approximately

about 830 women die from pregnancy complications around the world every day (World

Health Organization, 2015). The differences between regions are stark: There are currently

12 maternal deaths per 100,000 live births in developed regions compared with 546 in sub-

saharan Africa. Nigeria is ranked the second in the world with maternal mortality rate (630

per 100,000 live births), Nigeria Demographic and Health Survey, (2013)

The goal established by United States to reduced the worldwide maternal mortality ratio

(MMR) –the number of maternal deaths per 100,000 live births by 75% between 1990 and

2015 was not achieved, but significant progress has been made (43.9% decline). The 2015

global MMR is estimated at 216 deaths per 100,000 live births, down from 385 in 1990.

(Zolat and pa,2016).

.Maternal morbidity and mortality has remained high in sub-Saharan Africa as a result of

poor antenatal cares, despite concerted efforts at its reduction, by various stakeholders and

development partners (Sholeye, Abosede, and Jeminusi, 2013).Seeing that it is possible to

accelerate the decline, countries have now united behind a new target to reduce maternal

mortality even further. One target under Sustainable Development Goal 3 is to reduce the

global maternal mortality ratio to less than 70 per 100 000 births, with no country having a

maternal mortality rate of more than twice the global average by focused antenatal care.

Focused Antenatal Care is a Goal oriented care that is client centered, timely, friendly,

simple, beneficial and safe to pregnant women. (United States Agency for International

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