1. Lack of sensitization
    1. Failure of CHW/provider training model (unaware of service, don’t understand purpose)
    2. Failure of health center to educate patients (women are unaware of PNC service, women misunderstand the purpose of PNC service)
  2. PNC2+3 available at home, conducted by CHW
  3. Incentive to attend PNC (family planning, immunization, mother educated on best practice, birth certificate)
  4. Cost barriers: health insurance, distance to health center
  5. High workload of healthcare personnel (shortage of staff, provider/patient ratio is too high)
  6. Provider attitude towards patient services (respectful care, patient-centered care)
  7. Husband and family attitude towards service attendance
  8. Patient relationship with CHWs
  9. Recommendations to improve attendance