Knowledge, utilization and clients’ satisfaction with antenatal care services in Primary Health Care Centres, in Ikenne Local Government Area, Ogun State, Nigeria


  • K Sodeinde Babcock University, Ilisan Remo, Ogun State
  • O Onigbogi
  • O Odukoya
  • O Abiodun



Antenatal care, Client satisfaction, Health education, Knowledge, Nigeria


Background: Clients’ satisfaction with the quality of care in an antenatal clinic is the extent to which the health care system meets the clients’ expectations, aims and choices.

Objective:  To assess the clients’ knowledge and satisfaction with antenatal care (ANC) services in Primary Health Centres in Ikenne Local Government Area of Ogun State, Nigeria.

Methods: This descriptive cross-sectional study was conducted among 380 registered pregnant women who were selected using a multistage sampling method. The data were collected using a structured interviewer-administered questionnaire, constructed from a review of the Safe Motherhood Needs Assessment package and other available literature on antenatal care.

Results: The mean age of the respondents was 27.8±5.5 years. The majority were married (91.6%). Health education was the leading ANC activity recognized by 98.7% of the respondents. Knowledge was poor as only 46.1% had good knowledge of at least 50% of total knowledge score. Overall, satisfaction with the services was good as the majority (96.8%) of the respondents were satisfied with the services. Marital status, number of antenatal visits and level of education were statistically significantly associated with the level of satisfaction (p < 0.001, 0.02 and 0.007 respectively).

Conclusion: Though the knowledge of ANC was poor, overall satisfaction level was good. Programmes that improve maternal knowledge about ANC should be emphasized in PHCs.


Magoma M, Requejo J, Campbell OM, Cousens S, Filippi V. High ANC coverage and low skilled attendance in a rural Tanzanian district: a case for implementing a birth plan intervention. BMC Pregnancy Childbirth 2010; 10: 13. doi:10.1186/1471-2393-10-13.

McPherson RA, Khadka N, Moore JM, Sharma M. Are birth-preparedness programmes effective? Results from a field trial in Siraha district, Nepal. J Health Pop Nutri 2006; 24: 479-88).

Villar J, Ba’aqeel H, Piaggio G, Lumbiganon P, Miguel BJ, Farnot U. WHO Antenatal Care randomized trial for the evaluation for a new model of routine antenatal care. Lancet 2001; 357: 1551-1564.

Pattinson RC, Buchmann E, Mantel G, Schoon M, Rees H. Can enquiries into severe acute maternal morbidity act as a surrogate for maternal death enquiries? Brit J Obstet Gynaecol 2003; 110: 889-893.

Roemer ME, Montava CA. Quality assessment and assurance in PHC. WHO Upset Publications 1988; 105: 1-78.

Donabedian A. The quality of care. How can it be assessed? J Am Med Assoc 1988; 260: 1745-1748.

Maternal and neonatal health program. Country profile, Guatemala. In: Nanci Franco de Mendez, 2003. Maternal mortality in Guatemala. Available at

Debono D, Travaglia J. Complaints and patient satisfaction: A comprehensive review of the literature. Australia University of New South Wales, The Centre for Clinical Governance Research in Health 2009. Available at>Api>downloadmedia Accessed on 10th October 2017.

Douglas S, Cervin C, Bower KN. What women expect of the family physician as maternity care providers. Can Fam Physician 2007; 53: 875-879.

Oladapo OT, Iyaniwura CA, Sule-Odu AO. Quality of antenatal care at primary care level in south-west Nigeria. Afr J Reprod Health 2008; 12: 71-92.

Yan T, Wen SW, Walker MC, Beduz MA, Kim PC. Women satisfaction with the current state of prenatal care for pregnancies complicated by fetal anomalies. A survey of five academic perinatal units in Ontario. J Obstet Gynaecol Can 2007; 29: 308-314.

Illiyasu Z, Abubakar IS, Galadanci HS. Aliyu MH. Birth preparedness, complication readiness and fathers’ participation in maternity care in northern Nigerian community. Afr J Reprod Health 2010; 14: 21-32.

Chivonivoni C, Ehlers V, Roos H. Mothers attitude using services preventing mother to child HIV/AIDS transmission in Zimbabwe. An interview survey. Int J Nurs Studies 2008; 45: 1618-1624.

WHO Fact Sheet 2016. Maternal Mortality available at Accessed on 4/4/17

Fawole AO, Okunlola AO, Adekunle AO. Clients perceptions of the quality of antenatal care. J Natl Med Assoc 2008; 100: 1052-1058.

Balogun OR. Patients’ perception of antenatal care service in four selected private health facilities in Ilorin, Kwara State of Nigeria. Niger Med Pract 2007; 51: 80-84.

Eagles eye: Historical Background of Ikenne Remo. Available at Accessed on 10/07/17

Nnebue CC, Ebenebe UE, Adinma ED, Iyoke CA, Obionu CN, Ilika AL. clients' knowledge, perception and satisfaction with the quality of maternal health care services at the primary health care level in Nnewi, Nigeria. Niger J Clin Pract 2014; 17: 594-560.

Edie GEHE, Obinchemti TE, Tamufor EN, Njie MM, Njamen TN, Achiji EA. Perceptions of antenatal care services by pregnant women attending government health centres in the Buea Health District, Cameroon: a cross-sectional study. Pan Afr Med J 2015; 21: 45.

Rajiv KG, Tajal NS, Aruna KV, Rayaz J. knowledge regarding antenatal care services, its utilization and delivery practices in mothers (aged 15-49 years) in a rural area of North India. Trop J Med Res 2015; 18: 89-94

Barun BP, Pranaya G, Dattreya RS, Kapil HP, Ajoy M, Neha S. A study on knowledge and practices of antenatal care among pregnant women attending antenatal clinic at a Tertiary Care Hospital of Pune, Maharashtra. Med J Dr DY Patil University 2016; 9: 354-362.

Sufiyan MB, Umar AA, Shugaba A. Client satisfaction with antenatal care services in primary health centres in Sabon Gari local government area, Kaduna State. J Comm Med Prim Health Care 2012; 25: 12-22.

Eze CU. Survey of patients' satisfaction with obstetric ultrasound at the University of Nigeria Teaching Hospital, Enugu, Nigeria. Niger J Health Biomed. Sci 2006; 5: 93-97.

Aluko JO, Anthea R, Marie Modeste RR. Manpower capacity and reasons for staff shortage in primary health care maternity centres in Nigeria: a mixed-method study. BMC Health Serv Res 2019; 19: 10.

Ogaji DS, Mezie-Okoye MM. Waiting time and patient satisfaction: survey of patients seeking care at the general outpatient clinic of the University of Port Harcourt Teaching Hospital. Port Harcourt Med J 2017; 11: 148-155.

Ibrahim SM, Bakari M, Abdullahi HU, Bukar M. Clients perception of antenatal care services in a tertiary hospital in North-Eastern Nigeria. Int J Reprod Contracep Obstet Gynecol, 2017; 6: 4217-4223.

Ali GKM. How to establish a successful revolving fund: the experience of Khartoum state in Sudan. Bull World Health Org 2009; 87: 139-142.

National Population Commission and ICF International. Nigerian Demographic Health Survey 2013 available at>pubs>pdf

Dauletyarova MA, Semenova YM, Kaylubaeva G, Manabaeva GK, Toktabayeva B, Zhelpakova MS, et al. Are Kazakhstani women satisfied with antenatal care? Implementing the WHO Tool to Assess the Quality of Antenatal Services. Int J Environ Res Public Health 2018; 15: 325.

Rashmi K, Vijay KB. Client Satisfaction in Rural India for Primary Health care. A tool for Quality Assessment. Al-Ameen J Med Sci 2010; 3: 109-114.





Original Research