title: Perceptions of antenatal care services by pregnant women attending government health centres in the Buea Health District, Cameroon: a cross sectional study.
abstract: BACKGROUND
  User'sperception of quality of ANC services crucially impacts continuity of use of these services and hence pregnancy outcome. However in our community, ANC user's perceptions of quality are not known.
  
  
  METHODS
  An observational analytic cross-sectional study was carried out amongst pregnant women attending selected government health centres in the Buea Health District. We recruited 385 consenting pregnant women for the study. Demographic and clinical data were collected using structured questionnaires. The data was entered into Microsoft Excel and exported toEpi-Info (Version 3.5.1) for analysis.
  
  
  RESULTS
  Geographical accessibility and perceived quality of care were the predominant reasons for choosing or changing a site for ANC. One third of respondents (30.1%) attended a health centre out of their catchment health area with Buea Town health centre receiving the highest proportion of women out of the health area (56.8% of attendees). Knowledge about antenatal care varied and majority of respondents (96.4%) were satisfied with the antenatal services received. However, there were elements of dissatisfaction with health centre services, poor sitting facilities, amenities, few health education talks and poor nursing skills. High educational level (high school and university) (X(2) = 8.714; p = 0.01) and first time pregnancy(X(2)= 4.217; p= 0.04) were significantly associated with poor satisfaction.
  
  
  CONCLUSIONS
  Policy makers should implement changes in the health care delivery system taking into account the users' preferences, more so in the light of increasing female education in Cameroon.
authors.affiliation: Department of Surgery and Obstetrics-Gynecology, University of Buea, Buea, Cameroon.
authors.forename: Gregory Edie Halle Ekane
authors.initials: GE
authors.lastname: Edie
authors.affiliation: Department of Surgery and Obstetrics-Gynecology, University of Buea, Buea, Cameroon.
authors.forename: Thomas Egbe
authors.initials: TE
authors.lastname: Obinchemti
authors.affiliation: Department of Gynecology and Obstetrics, Regional Hospital Buea, Buea, Cameroon.
authors.forename: Emmanuel Njuma
authors.initials: EN
authors.lastname: Tamufor
authors.affiliation: Department of Gynecology and Obstetrics, Regional Hospital Buea, Buea, Cameroon.
authors.forename: Martin Mafany
authors.initials: MM
authors.lastname: Njie
authors.affiliation: Department of Surgery and Obstetrics-Gynecology, University of Buea, Buea, Cameroon.
authors.forename: Theophile Nana
authors.initials: TN
authors.lastname: Njamen
authors.affiliation: Department of Surgery and Obstetrics-Gynecology, University of Buea, Buea, Cameroon.
authors.forename: Eric Akum
authors.initials: EA
authors.lastname: Achidi
mesh_terms: D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D002163:Cameroon; D003430:Cross-Sectional Studies; D004522:Educational Status; D005260:Female; D006076:Government; D006801:Humans; D017060:Patient Satisfaction; D011247:Pregnancy; D011295:Prenatal Care / Q000523:psychology* / Q000592:standards; D011787:Quality of Health Care; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Antenatal care; Cameroon; choice of site; perception; satisfaction