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Conclusion
ANC in Arakale health centre has improved with reported increase in the coverage of the recommended four ANC visits and increases in the coverage of a first trimester ANC visit, multiple vertical programmes rely on ANC to deliver their interventions representing both a challenge and an opportunity. As a critical link in the continuum of care, ANC offers tremendous opportunities to reach a large number of pregnant women and communities with effective clinical and health promotion interventions. However inequity exists and young, rural, poor and less educated women may not benefit from ANC, services or may drop out due to access barriers and low quality services. Efforts to strengthened ANC should focus on universal coverage by addressing financial and cultural barriers to reaching vulnerable groups, quality improvement to increase women’s satisfaction and reduce drop out and integration of programmes to maximize the contact between the women and the health service.