ArticleMaternal health, neonatology and perinatology2026
Exploration of facilitators and barriers to the implementation of the eight-contact antenatal care model in healthcare facilities in Nigeria.
Article in Maternal health, neonatology and perinatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study explored the facilitators and barriers influencing the implementation of the eight-contact ANC model in selected healthcare facilities in Nigeria.
designA qualitative study using semi structured interviews. The data were analysed via thematic analysis. A qualitative descriptive design was employed, involving key informant interviews with antenatal care providers and focus group discussions with pregnant women. The interviews were audio recorded and transcribed.
settingAntenatal care clinic in selected health facilities.
participantsA purposive sample of 8 antenatal care providers (doctors, nurses, and allied health professionals) who are heads of their departments between November and April 2025 were eligible to participate. Four focus group discussions with pregnant women were held, each group consist of 8 pregnant women, with an age range of 16–38 years, and data saturation was reached.
resultsFour themes were identified: (1) implementation status, (2) facilitators of implementation, (3) barriers to implementation, and (4) opinions of pregnant women. Major barriers identified by antenatal care providers include inadequate awareness and training Pregnant women also reported low health literacy, long travel distances, delayed initiation of ANC, and negative provider attitudes as challenges (The way she attended to me was rude”). Providers reported a key finding, willingness to adopt innovations (Training healthcare workers on the latest guidelines in antenatal services will help in implementing any policy that is being introduced”), availability of health education materials, and If there is availability of supplies, we will be able to implement the model. It’s been a while since we got supplies from the government to facilitate ANC services”).
conclusionsThis study offers valuable insight into the experiences of some frontline health professionals working in antenatal clinics. This study concludes that the eight-contact ANC model has not been effectively implemented due to systemic challenges such as insufficient provider training, weak institutional support, and socioeconomic limitations among pregnant women. Although women value ANC services, gaps in awareness, structural constraints, and negative care experiences hinder their full utilization. A disconnect remains between WHO guidelines and real-world clinical practice in these settings.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.