Knowledge, Attitudes, and Practices toward Antenatal Care among Pregnant Women in the City of Kigali

Abstract: This research study assessed knowledge, attitudes, and practices (KAP) toward antenatal care (ANC) among pregnant women attending Masaka, Muhima, and Kibagabaga District Hospitals in Kigali, Rwanda. Although ANC is vital for preventing complications during pregnancy, global and local gaps in adequate ANC attendance persist. In Rwanda, while nearly all pregnant women attend at least one ANC visit, less than half complete the recommended four visits. Using a cross-sectional design and systematic sampling, 420 women participated through structured face-to-face interviews. Results showed that 61.2% had adequate knowledge and 56.4% held positive attitudes toward ANC, yet only 23.1% demonstrated good practices. Women aged 26–40, those employed, and those making joint decisions with spouses were more likely to have better knowledge and attitudes. Secondary education was strongly linked to good practices. Despite generally good awareness and perceptions, actual ANC practices were inadequate. The study concludes that improving knowledge alone is insufficient; targeted interventions, improved service access, and promoting shared household decision-making are essential to increase full ANC attendance and enhance maternal and child health outcomes in Rwanda’s urban settings. Keywords: KAP, Antenatal Care, Pregnant Women, City of Kigali. Title: Knowledge, Attitudes, and Practices toward Antenatal Care among Pregnant Women in the City of Kigali Author: Mr. Olivier Welcome, Dr. Michael Habtu Fissehaye International Journal of Healthcare Sciences ISSN 2348-5728 (Online) Vol. 13, Issue 1, April 2025 - September 2025 Page No: 441-458 Research Publish Journals Website: www.researchpublish.com Published Date: 11-July-2025 DOI: https://doi.org/10.5281/zenodo.15862924 Paper Download Link (Source) https://www.researchpublish.com/papers/knowledge-attitudes-and-practices-toward-antenatal-care-among-pregnant-women-in-the-city-of-kigali