APPENDIX

Questionnaire for respondents

This questionnaire is intended to collect data for project work on the topic,

“ exploring the attitudes, Practices and Knowledge on the importance of ANC attendance

among pregnant women in Akumadan-Afrancho in the Offinso North District, Ghana”.

Your honest answers to the questions will be a contribution to the success of the study.

Your responses would be treated in strict confidence and be guaranteed that your identity

would not be revealed. Please answer all the questions as accurately as you can. You

assured that any information you provide is solely meant for the research and nothing else.

Please chose the option that applies to you by placing a tick (√) in the bracket of your

choice unless otherwise indicated. For „other‟ responses, provide a brief response. You are

at liberty to reserve your options if you feel to do so.

Thank you

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 Participant NO………………………………….

# Questions Response Comment

S ECTION A : SOCIO-DEMOGRAPHIC CHARACTERISTICS

1. a. 15 – 19

What is your age at last birthday? b. 20 – 24

c. 25 – 29

d. 30 – 34

e. 35 – 39

f. 40 and above

2. a. Christian

What is your religion? b. Moslem

c. Tradition

d. Others

3. a. Non formal

Educational Level b. Basic

c. Secondary

d. Tertiary

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4. a. Single

What is your Marital Status? b. Married

c. Cohabiting

d. Divorce

5. a. Unemployed

What is your occupational status? b. Self employed

c. Formal sector employee

6. a. 1

Number of Births /Parity b. 2

c. 3

d. 4

e. 5+

7. National Health Insurance a. Yes

enrolment status
b. No

8. Validity of NHI card a. Yes

b. No

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S ECTION B: KNOWLEDGE ON AL CARE

ANTE NAT

9. a. Care given to pregnant

woman before birth

In your view what is Antenatal

Care b. Services that promote

healthy pregnancy
Services?

c. Care given to pregnant

woman from conception to

delivery

d. Others ……………….

10. a. Immediately pregnancy is

detected

First Trimester
b.
What is the appropriate time to
access / book for ANC visit Second Trimester
c.

d. Third Trimester

e. Any time you wish

f. No idea

11. Where did you hear about a. Friends / Peers

Antenatal
b. Family members / relatives
Care Services (source of
c. Media
information on

ANC)
d. Health facility / workers

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12. a. One

How many visits should a b. Two

pregnant woman make to the

c. Three
Antenatal Care Services during the

entire period of pregnancy? d. Four and above

e. No idea

13. What do you think are some of the a. ………………………………

benefits of Antenatal Care ………………………………

Services?

S ECTION C: FACTORS THAT THE TIMING OF ANC BOOKING

INFLUE NCE

A T HEALTH FACILITY

Factor / motive Responses

14. Maternal age a. Agree

b. Strongly Agree

c. Disagree

d. Strongly Disagree

15. Accessibility (Distance) a. Agree

b. Strongly Agree

c. Disagree

d. Strongly Disagree

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 16. Accessibility financial a. Agree

b. Strongly Agree

c. Disagree

d. Strongly Disagree

17. Maternal education level a. Agree

b. Strongly Agree

c. Disagree

d. Strongly Disagree

18. a. Agree

Maternal Religion
b. Strongly Agree

c. Disagree

d. Strongly Disagree

19. Maternal Ethnicity a. Agree

b. Strongly Agree

c. Disagree

d. Strongly Disagree

20. Type of pregnancy (intended or a. Agree

unintended)
b. Strongly Agree

c. Disagree

d. Strongly Disagree
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21. Exposure to maternal health a. Agree

information, perceived
b. Strongly Agree
benefits/needs

c. Disagree

d. Strongly Disagree

22. Previous medical complications a. Agree

b. Strongly Agree

c. Disagree

d. Strongly Disagree

Previous experience/use of health a. Agree

23 . services (Attitude of service

b. Strongly Agree
providers – poor or good)

c. Disagree

d. Strongly Disagree

24. National Health Insurance a. Agree

enrolment status
b. Strongly Agree

c. Disagree

d. Strongly Disagree

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S ECTION D: ANC SERVICES SATISFA CTION LEVEL

25. Readiness of staff to listen to a. Not Satisfied

clients problems
b. Somewhat Satisfied

c. Satisfied

d. Very Satisfied

26. Quality of care provided by staff a. Not Satisfied

b. Somewhat Satisfied

c. Satisfied

d. Very Satisfied

27. Cleanliness of facility a. Not Satisfied

b. Somewhat Satisfied

c. Satisfied

d. Very Satisfied

28. Waiting time a. Not Satisfied

b. Somewhat Satisfied

c. Satisfied

d. Very Satisfied

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29. Respect to privacy during physical a. Not Satisfied

examination
b. Somewhat Satisfied

c. Satisfied

d. Very Satisfied

30. Having enough time to ask a. Not Satisfied

questions

b. Somewhat Satisfied

c. Satisfied

d. Very Satisfied

31. Involvement with decision making a. Not Satisfied

b. Somewhat Satisfied

c. Satisfied

d. Very Satisfied

32. Confidentiality a. Not Satisfied

b. Somewhat Satisfied

c. Satisfied

d. Very Satisfied

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33. Overall rating of satisfaction with a. Not Satisfied

ANC services
b. Somewhat Satisfied

c. Satisfied

d. Very Satisfied

Thank you.

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