GSJ: Volume 13, Issue 9, September 2025, Online: ISSN 2320-9186
www.globalscientificjournal.com
Assessment of Knowledge, Attitude and Practices
regarding Antenatal Care among Pregnant Women in
Kabul City, Afghanistan
Iftikharullah Ghani
1
,
Abdul Baseer Hakeemi
2
,
Jahan University Kabul
Afghanistan
Abstract: Knowledge, attitude, and practices (KAP) for an antenatal check-up during pregnancy is a key indicator
of a healthcare facility in a community. Antenatal care (ANC) is a useful practice for lowering infant and maternal
mortality. Therefore, the present study was planned to estimate knowledge, attitudes, and practices regarding (ANC)
among pregnant women and determine its association with sociodemographic factors. This hospital-based cross-
sectional study was conducted on 406 pregnant women through convenience sampling from March 2022 to February
2024. A semi-structured questionnaire included sociodemographic and obstetrical history, and scored questionnaire
on (KAP) was used. The analysis included parametric, nonparametric, and Pearson correlation coefficient tests. The
finding of the study revealed that pregnant women had average knowledge (96%), positive attitudes (98.75%), and
good practices (58.5%) toward (ANC). The level of overall knowledge had a positive correlation with the practices
toward (ANC) (r = 0.18, P < 0.001). The sociodemographic association showed that age, type of family, education,
and occupation had a significant association with awareness and practices about (ANC). Furthermore, the practice of
(ANC) in our study area was low despite good knowledge and attitude toward (ANC). Further, exploratory studies
are required and need to be planned to improve practices in prenatal care and ultimately improve their health.
Aim: the present study is undertaken to assess the Assessment of Knowledge, Attitude and Practices regarding
Antenatal Care among Pregnant Women’s.
Design Methodologies/Approach: The purpose of this research was to improve antenatal care accessibility,
financial barriers, healthcare quality, and women's awareness should be eliminated. Community campaigns and
mass media should focus on information, education, and communication initiatives. Incentives should be provided to
encourage women to use accessible maternal care services, strengthening societal power dynamics and fostering a
healthy nation. The sample size for non-probability sampling was calculated by using a single population proportion
formula ( = ∗ ( − )/d2) to identify a representative sample with the following assumptions Mulyany (2009),
Kassim (2016) Iftikharullah Ghani et al., 2024; Azim Mommand To increase the study power and cover the probable
no-response rate, a 10% increase in the minimum required sampling is calculated to be:0.10×369= 36.9≈ 37
Therefore, the calculated number of participants to be selected was 369+37=406.
Finding: This research focuses on the knowledge, attitude, and practice of antenatal care in Kabul, Afghanistan, a
region with a lack of awareness due to economic struggles or political instability. The study was conducted across
various hospitals and outpatient departments, including diverse tribes and districts. The large sample size and face-
to-face interviews were used to gather data. The aim is to address the existing information gap on antenatal care
among pregnant women in Kabul City.
Material & Methods: A cross-sectional study was conducted on 406 pregnant women attending public and
private health centers in Kabul City from March 2022 to February 2024. A nonprobability convenient sampling
technique was used to select study participants. Face to face interview was conducted to assess women’s knowledge,
attitude and practice using a structured questionnaire after obtaining verbal consent.
Statistical analysis used: The study utilized SPSS version 27 for data collection, analysis, and correlation
between knowledge, attitude, and practice, with a significance level of P-value less than 0.05.
GSJ: Volume 13, Issue 9, September 2025
ISSN 2320-9186 18
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