Level of antenatal care compliance and satisfaction among selected pregnant women
Carlos Miguel S. Tan, Trisha Mae C. Rama, Natasha Nicole B. Regalo & Gloria Galang Umali
Abstract
Antenatal care (ANC) compliance is vital in reducing maternal mortality by preventing pregnancy-related complications. Satisfaction, however, is a primary factor influencing compliance. This study aimed to assess the level of ANC compliance and satisfaction among pregnant women in three selected barangays in Candelaria, Quezon, Philippines as well as the factors influencing service utilization. A total of 146 pregnant women from the target client list of their respective barangays were included through total enumeration sampling. The study adopted a quantitative, non-experimental design using comparative and descriptive correlational methods to examine the relationship between compliance and satisfaction, and to compare the three barangays in terms of ANC service implementation. Data were gathered using researcher-made and modified questionnaires, with responses assessed through the user scale. Statistical tools employed included frequency and percentage, weighted mean, and Pearson r Correlation. Findings revealed that pregnant women across the three barangays were highly compliant and satisfied with the ANC services available to them. Results further showed a statistically significant, moderate correlation between compliance and satisfaction, highlighting that higher satisfaction tends to improve compliance. This study emphasizes the importance of maintaining both quality and accessibility of ANC services to ensure maternal well-being. Strengthening patient-centered care and continuously improving service delivery may further enhance satisfaction and encourage consistent ANC compliance, ultimately contributing to reduced maternal health risks.
Keywords
compliance, satisfaction, maternal mortality rate, antenatal care services
Author information & Contribution
Carlos Miguel S. Tan. Corresponding author. Bachelor of Science in Nursing, Manuel S. Enverga University Foundation-Candelaria, Inc. Email: tancarlosmiguel55@gmail.com
Trisha Mae C. Rama. Bachelor of Science in Nursing, Manuel S. Enverga University Foundation-Candelaria, Inc.
Natasha Nicole B. Regalo. Bachelor of Science in Nursing, Manuel S. Enverga University Foundation-Candelaria, Inc.
Gloria Galang Umali. Registered Nurse, Registered Midwife, Master of Arts in Nursing. Manuel S. Enverga University Foundation-Candelaria, Inc. Email: vjlc2011@gmail.com
“All authors equally contributed to the conception, design, preparation, data gathering and analysis, and writing of the manuscript. All authors read and approved the final manuscript.”
Disclosure statement
No potential conflict of interest was reported by the author(s).
Funding
This work was not supported by any funding.
Institutional Review Board Statement
This study was conducted in accordance with the ethical guidelines set by Manuel S. Enverga University Foundation-Candelaria, Inc. The conduct of this study has been approved and given relative clearance by MSEUF University Ethics Review Committee with Ethics Review Board Reference Number: MSEUFCI-2025-021.
AI Declaration
AI tools were not used in writing this paper.
Notes
Acknowledgement
References
Ali, S. A., Ali, G. B., & Savera, A. (2018). Factors affecting the utilization of antenatal care: Literature review. Journal of Pregnancy and Neonatal Medicine, 2(2), 41–45. https://doi.org/10.35841/neonatal-medicine.2.2.41-45
Asifere, V., & Tessema, M., et al. (2018). Clients’ satisfaction with healthcare providers’ communication-associated factors in accessing antenatal care in Jimma town public health facilities, Jimma Zone, Southwest Ethiopia. International Journal of Pregnancy & Childbirth, 4(5). https://doi.org/10.15406/IPCB.2018.04.00113
Ayalew, M. M., Nebeb, G. T., Bizuneh, M. M., & Dagne, A. H. (2021). Women’s satisfaction and its associated factors with antenatal care services at public health facilities: A cross-sectional study. International Journal of Women’s Health, 13, 279–286. https://doi.org/10.2147/IJWH.S293725
Aynalem, B. Y., Ayalew, M. M., Wassie, G. T., Nigussie, T. S., Tsegaye, A. T., & Mulugeta, T. (2023). Cultural beliefs and traditional practices during pregnancy, childbirth, and the postpartum period in East Gojjam Zone, Northwest Ethiopia: A qualitative study. Women’s Health Reports, 4(1), 415–422. https://doi.org/10.1089/whr.2023.002
Bako, I. A., Sasetu, S. I., Joshua, A. I., & Rimamnunra, G. N. (2022). Are clients satisfied with the communication they receive from health workers? A study among pregnant women attending primary health care centers in Nasarawa State, Nigeria. African Journal of Reproductive Health, 26(6), 55–63. https://doi.org/10.29063/ajrh2022/v26i6.7
Baliddawa, J. H., & Kipkulei, J. (2015). Factors affecting ANC women’s satisfaction with communication skills of health care providers. International Journal of Development and Sustainability, 2(3), 2188–2196. https://isdsnet.com/ijdsv2n339.pdf
Cagayan, M., Nisperos, G., Facun, G., & Cagayan, B. (2022). Mothers’ perspectives on utilization of maternal health services in rural health units in Luzon: A qualitative study. Acta Medica Philippina. https://actamedicaphilippina.upm.edu.ph
Canning, D., Rosenberg, J. P., & Yates, P. (2007). Therapeutic relationships in specialist palliative care nursing practice. International Journal of Palliative Nursing, 13(5), 222–229. https://doi.org/10.12968/ijpn.2007.13.5.23492
Cullen, S., Seymour, V., Dwyer, I., Doyle, S., Crosby, D., & Allen, C. (2023). Tender loving care following recurrent miscarriages: A review of a dedicated antenatal clinic. British Journal of Midwifery, 31(5), 248–251. https://doi.org/10.12968/bjom.2023.31.5.248
De Vaus, D. A., Qu, L., & Weston, R. (2019). Family trends: Changing patterns of partnering. Family Matters, 64, 10–15.
Drigo, L., Luvhengo, M., Lebese, R. T., & Makhado, L. L. (2020). Attitudes of pregnant women towards antenatal care services provided in primary health care facilities of Mbombela Municipality, Mpumalanga Province, South Africa. The Open Public Health Journal, 13, 569. https://doi.org/10.2174/1874944502013010569
Geta, T., Israel, E., & Atinafu, B. (2023). Prevalence and associated factors of client satisfaction with antenatal care services among antenatal care attendants in Ethiopia: A systematic review and meta-analysis. International Journal of MCH and AIDS, 13, e016. https://doi.org/10.25259/IJMA_616
Herwansyah, H., Czabanowska, K., Kalaitzi, S., & Schröder-Bäck, P. (2022). The utilization of maternal health services at primary healthcare setting in Southeast Asian countries: A systematic review of the literature. Sexual & Reproductive Healthcare, 32, 100726. https://doi.org/10.1016/j.srhc.2022.100726
Kebede, D. B., Belachew, Y. B., Selbana, D. W., & Gizaw, A. B. (2020). Maternal satisfaction with antenatal care and associated factors among pregnant women in Hossana Town. International Journal of Reproductive Medicine, 2020, 2156347. https://doi.org/10.1155/2020/2156347
Khan, M. N., Alam, M. B., Chowdhury, A. R., Kabir, M. A., & Khan, M. M. A. (2024). Availability and readiness of healthcare facilities and their effects on antenatal care services uptake in Bangladesh. BMC Health Services Research, 24(1), 431. https://doi.org/10.1186/s12913-024-10824-4
Lakew, S., Ankala, A., & Jemal, F. (2018). Determinants of client satisfaction to skilled antenatal care services at Southwest of Ethiopia: A cross-sectional facility-based survey. BMC Pregnancy and Childbirth, 18, 479. https://doi.org/10.1186/s12884-018-2121-6
Laksono, A. D., Rukmini, R., & Wulandari, R. D. (2020). Regional disparities in antenatal care utilization in Indonesia. PLOS ONE, 15(2), e0224006. https://doi.org/10.1371/journal.pone.0224006
Maligana, M. (2017). Socio-demographic factors affecting utilization of antenatal care services in Botswana. International Journal of Academic Research in Business and Social Sciences, 7(9), 477-520.
Mannava, P., Durrant, K., Fisher, J., Chersich, M., & Luchters, S. (2015). Attitudes and behaviours of maternal health care providers in interactions with clients: A systematic review. Global Health, 11, 36. https://doi.org/10.1186/s12992-015-0117-9
Mwase-Musicha, L., Chipeta, M. G., Stephenson, J., & Hall, J. A. (2022). How do women prepare for pregnancy in a low-income setting? Prevalence and associated factors. PLOS ONE, 17(3), e0263877. https://doi.org/10.1371/journal.pone.0263877
Mwenebanda, E., Machado, A., Patel, A. I., Banda, C., & Chiumia, R. (2024). Factors influencing antenatal care attendance in the eight contact era policy: A case of selected maternal health service facilities in Blantyre, Malawi. BMC Pregnancy and Childbirth, 24, 704. https://doi.org/10.1186/s12884-024-06895-0
Nang-Bayi, J., Wie, S., Siepaal, V., Kuufira, P., & Der, E. (2021). Factors associated with rising trend in teenage pregnancy within the West Gonja Municipality of the Savannah Region of Ghana. Open Journal of Obstetrics and Gynecology, 11, 1273–1290. https://doi.org/10.4236/ojog.2021.119119
Nicholls-Dempsey, L., Badeghiesh, A., Baghlaf, H., & Dahan, M. H. (2023). How does high socioeconomic status affect maternal and neonatal pregnancy outcomes? A population-based study among American women. European Journal of Obstetrics & Gynecology and Reproductive Biology: X, 20, 100248. https://doi.org/10.1016/j.eurox.2023.100248
Nicol, J. (2015). Nursing adults with long term conditions (2nd ed.). Sage Publications.
Omar, F., Kodhiambo, M. O., & Musili, F. (2020). Socio-demographic and economic factors associated with ANC attendance among women of reproductive age. Journal of Health, Medicine and Nursing, 5(1), 48–59.
Rabago, P. A. A., Fuerte, V. C., Buenaobra, K. R. R., Advincula, B. S., & Pacris, M. B. (2024). The level of compliance of teenage mothers to maternal care from the selected barangay health centers in Marikina City: Basis for health teaching. Ignatian International Journal for Multidisciplinary Research, 2(7), 481–501.
Rahman, M. M., Ngadan, D. P., & Arif, M. T. (2016). Factors affecting satisfaction on antenatal care services in Sarawak, Malaysia: Evidence from a cross-sectional study. SpringerPlus, 5, 725. https://doi.org/10.1186/s40064-016-2447-3
Roro, M., Deressa, W., & Lindtjørn, B. (2022). Antenatal care utilization and compliance with national and WHO guidelines in rural Ethiopia: A cohort study. BMC Pregnancy and Childbirth, 22, 849. https://doi.org/10.1186/s12884-022-05171-3
Rurangirwa, A. A., Mogren, I., Nyirazinyoye, L., Ntaganira, J., & Krantz, G. (2017). Determinants of poor utilization of antenatal care services among recently delivered women in Rwanda: A population-based study. BMC Pregnancy and Childbirth, 17, 142. https://doi.org/10.1186/s12884-017-1328-2
Saad-Haddad, G., DeJong, J., Terreri, N., Restrepo-Méndez, M. C., Perin, J., Vaz, L., Newby, H., Amouzou, A., Barros, A. J., & Bryce, J. (2016). Patterns and determinants of antenatal care utilization: Analysis of national survey data in seven countdown countries. Journal of Global Health, 6(1), 010404. https://doi.org/10.7189/jogh.06.010404
Sarkar, M., Das, T., & Basu Roy, T. (2021). Determinants or barriers associated with specific routine check-up in antenatal care in gestational period: A study from EAG states, India. Clinical Epidemiology and Global Health, 11, 100779. https://doi.org/10.1016/j.cegh.2021.100779
Scorgie, F., Blaauw, D., Dooms, T., Chersich, M., & Konje, J. C. (2015). “I get hungry all the time”: Experiences of poverty and pregnancy in an urban healthcare setting in South Africa. Global Health, 11, 37. https://doi.org/10.1186/s12992-015-0122-z
Sharifipour, F., Javadnoori, M., Moghadam, Z. B., Najafian, M., Cheraghian, B., & Abbaspoor, Z. (2023). Primiparous mothers’ perception and expectations regarding social support during the postpartum period: A qualitative study. Iranian Journal of Nursing and Midwifery Research, 28(1), 38–46. https://doi.org/10.4103/ijnmr.ijnmr_383_21
Sossah, L. (2015). Sexual behavior during pregnancy: A descriptive correlational study among pregnant women. European Journal of Research in Medical Sciences, 2(1).
Tarekegn, S. M., Lieberman, L. S., & Giedraitis, V. (2014). Determinants of maternal health service utilization in Ethiopia: Analysis of the 2011 Ethiopian Demographic and Health Survey. BMC Pregnancy and Childbirth, 14, 161. https://doi.org/10.1186/1471-2393-14-161
Tessema, Z. T., & Minyihun, A. (2021). Utilization and determinants of antenatal care visits in East African countries: A multicountry analysis of Demographic and Health Surveys. Advances in Public Health, 2021, 6623009. https://doi.org/10.1155/2021/6623009
Tessema, Z. T., Tesema, G. A., & Yazachew, L. (2022). Individual-level and community-level factors associated with eight or more antenatal care contacts in sub-Saharan Africa: Evidence from 36 sub-Saharan African countries. BMJ Open, 12, e049379. https://doi.org/10.1136/bmjopen-2021-049379
van Pelt, S., Massar, K., van der Eem, L., Shields-Zeeman, L., de Wit, J. B. F., & Ruiter, R. A. C. (2020). “If you don’t have enough equipment, you’re not going to provide quality services”: Healthcare workers’ perceptions on improving the quality of antenatal care in rural Tanzania. International Journal of Africa Nursing Sciences, 13, 100232. https://doi.org/10.1016/j.ijans.2020.100232
Weldemariam, S., Damte, A., Endris, K., & Abebe, S. (2018). Late antenatal care initiation: The case of public health centers in Ethiopia. BMC Research Notes, 11, 562. https://doi.org/10.1186/s13104-018-3653-6
World Health Organization [WHO]. (2015). SDG target 3.1 maternal mortality. https://www.who.int/data/gho/data/themes/topics/sdg-target-3-1-maternal-mortality
Wulandari, R. D., Laksono, A. D., & Rohmah, N. (2021). Urban-rural disparities of antenatal care in South East Asia: A case study in the Philippines and Indonesia. BMC Public Health, 21, 1221. https://doi.org/10.1186/s12889-021-11318-2
Yamashita, T., Reyes Tuliao, M. T., Concel Meana, M., Suplido, S. A., Llave, C. L., Tanaka, Y., & Matsuo, H. (2017). Utilization of healthcare services in postpartum women in the Philippines who delivered at home and the effects on their health: A cross-sectional analytical study. International Journal of Women’s Health, 9, 695–700. https://doi.org/10.2147/IJWH.S141689
Cite this article:
Tan, C.M.S., Rama, T.M.C., Regalo, N.N.B. & Umali, G.G. (2025). Level of antenatal care compliance and satisfaction among selected pregnant women. Journal of Allied Health Sciences & Medical Research, 1(3), 46-68. https://doi.org/10.53378/jahsmr.353259
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