Table of Contents
ISRN Obstetrics and Gynecology
Volume 2011, Article ID 253964, 5 pages
Review Article

Proposed Framework for Making Focused Antenatal Care Services Accessible: A Review of the Nigerian Setting

1Department of Obstetrics and Gynaecology, University of Calabar Teaching Hospital, Calabar Cross River State, P.O. Box 2522 Calabar, Nigeria
2Department of Community Medicine, University of Calabar Teaching Hospital, Calabar Cross River State, P.M.B. 1278 Calabar, Nigeria

Received 14 October 2011; Accepted 17 November 2011

Academic Editors: E. Cosmi and N. A. Ginsberg

Copyright © 2011 John Ekabua et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The aim of this paper is to propose a framework for making antenatal care an effective strategy in reducing the high maternal mortality ratio in Nigeria. On-site visits to five teaching hospitals were carried out between 2006 and 2008 to assess the practice of antenatal care. Group discussions with 200 parturients on their awareness of birth preparedness/complication readiness were conducted, in October, 2008. The findings of this study are discussed in line with the proposed practice of focused antenatal care. The practice of antenatal care in all the hospitals visited was the traditional approach based on earlier European models. Awareness of birth preparedness/complication readiness, by parturients, as a goal-directed intervention during antenatal care was low (21.5%). To reduce maternal deaths through antenatal care, it is critical to link care with detecting and treating causes of maternal mortality by a skilled attendant.