Factors Hindering Quality of Antenatal Care Among Pregnant Women Attending Primary Healthcare in Ede, Osun State, Nigeria

Abstract

Background: Quality antenatal care is crucial for achieving Sustainable Development Goals in both developing and developed countries. This study aimed to identify factors hindering the quality of antenatal care among pregnant women attending primary healthcare facilities in Ede South, Osun State, Nigeria. Methods: A descriptive cross-sectional study was conducted, and data were collected using questionnaires. We used Chi-square and multivariable logistic regression for data analysis. Results: Factors that significantly hindered the quality of antenatal care included healthcare workers not rendering services promptly (p=0.001; AOR=2.87; CI=1.55-5.3), lack of modern equipment (p=0.00; AOR=4.23; CI=2.13-7.75), and healthcare workers lacking sufficient skills (p=0.01; AOR=2.4; CI=1.23-4.68). No significant association was found between socio-demographic variables and perceived quality of antenatal care. Conclusion: Pregnant women perceive good-quality antenatal care at primary healthcare centers. However, factors such as delayed services, outdated equipment, and inadequate healthcare workers’ skills significantly hinder the quality of care. Addressing these factors could improve the quality of antenatal care services in primary healthcare facilities in Ede South, Osun State, Nigeria.