Assessment of the quality of the first antenatal consultation in the Malemba Nkulu Health Zone, Haut-Lomami, DRC

Résumé

Abstract

Background

Maternal mortality remains a major public health challenge in the Democratic Republic of Congo (DRC), with 473 deaths per 100,000 live births. Antenatal care (ANC) plays a crucial role in reducing maternal and neonatal complications. This study aims to assess the quality of the first antenatal consultation (ANC1) in the Malemba Nkulu Health Zone.

Methods

A cross-sectional descriptive study was conducted in eight health facilities, involving 248 pregnant women and 14 healthcare providers. The quality of ANC1 was assessed using an observation grid based on national and international standards.

Results

Only 2% of antenatal consultations meet quality standards. 43% of consultations were conducted by traditional birth attendants with no advanced medical training. 52.4% of pregnant women had their first ANC in the third trimester, limiting access to preventive interventions.

Conclusion

This study highlights insufficient antenatal care quality in Malemba Nkulu. Strengthening healthcare provider training, improving access to diagnostic tests, and raising awareness among pregnant women about early antenatal follow-up are crucial for better maternal outcomes.

Keywords: Quality, antenatal consultation, maternal health, DRC.