The objective of this study was to assess maternal perceptions on quality of antenatal care offered in the major health centers in Western Health Regions of The Gambia. Method: A descriptive cross-sectional study design was used andone hundred pregnant women in their third trimester were conveniently selected from the targeted clinics. A modified quality of antenatal care questionnaire was used for data collection. Data was collected through face-to-face interviews and was analyzed using SPSS version 21. Both descriptive and bivariate statistics were employed. Result: The total perception on quality of care subscale was 22.8 (SD± 1.89) indicated moderatequality of antenatal care. The total mean score of the interpersonal quality of care sub-scale was 20.3 (SD± 1.72) indicated that nurse’s attitude was rated very good. A significant and positive relationship existed between attitude of nurse-midwives and the quality of antenatal care offered (p<0.05). Nurse-midwives attitude was a strong predictive independent variable for quality of antenatal services. Conclusion: Therefore, maternal perception and attitude of nurse-midwives should be considered when designing interventions to improve quality and hence, utilization of antenatal services in the targeted health centers in the Gambia.
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