International Journal of Community Medicine and Public Health | June 2018 | Vol 5 | Issue 6 Page 2182 International Journal of Community Medicine and Public Health Bastola P et al. Int J Community Med Public Health. 2018 Jun;5(6):2182-2189 http://www.ijcmph.com pISSN 2394-6032 | eISSN 2394-6040 Original Research Article Quality of antenatal care services in selected health facilities of Kaski district, Nepal Pabitra Bastola, Dipendra Kumar Yadav*, Himlal Gautam INTRODUCTION Antenatal care is an evidence based interventions including recording medical history, assessment of individual needs, advice and guidance on pregnancy and delivery, screening tests, education on self-care and identification of conditions detrimental to health during pregnancy, first-line management and referral if necessary. 1,2 It is an effective route for early detection of potential problems and early treatment of pregnant women which helps to reduce infant and maternal morbidity and mortality. 3 The quality of ANC can be measured through the number and frequency of ANC visits, content of services received, the kinds of information given to women during their visits, client satisfaction level, and the qualifications of the provider. 4-7 Worldwide, complications during pregnancy, childbirth and the postnatal period are the leading causes of death and disability among women of reproductive age. 8 Although, antenatal care is an essential part of primary healthcare and its provision has expanded worldwide, only one third of all pregnant women in developing countries receive at least four antenatal care visits. Out of total maternal deaths worldwide, nearly 99% of death occurs in low income countries especially in Sub-Saharan Africa and South Asia. 8,9 In Nepal, the 2016 NDHS result ABSTRACT Background: Antenatal care service is an evidence based interventions given to the pregnant women. Objective of the study was to assess quality of antenatal care services in selected health facilities of Kaski district, Nepal. Methods: A cross sectional study was conducted in selected health institutions in Kaski district of Nepal during June to November 2017. Two hundred seven participants were selected from health facilities of Kaski district. Structured questionnaires were employed as tool for data collection. Results: This study showed that 50.7 percent respondents waited less than 35 minutes for receiving service. More than half of the total respondents (63.3%) reported that the consultation time provided for them was less than 20 minutes. All respondents reported that weight and blood pressure measurement was undertaken while none of them reported that height was measured. It was found that maximum number of participants (99.0%) were received iron/folate tablets and tetanus vaccination. Similarly, 97.6% of participants reported that they were counselled on nutrition and 96.6% of reported they get counselling on danger signs. In overall, 48.3% of the respondents were satisfied with the services they received and 43% of the respondents received good quality ANC service from different health institutions. Conclusions: In overall satisfaction of antenatal care services was found to be low and more than half of respondent does not received good quality ANC services. Keywords: Antenatal care services, Quality, Health facility, Service provider School of Health and Allied Sciences, Pokhara University, Nepal Received: 28 February 2018 Revised: 02 April 2018 Accepted: 03 April 2018 *Correspondence: Dr. Dipendra Kumar Yadav, E-mail: dipendrayadavph@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20182142