DOI: https://doi.org/10.36347/sjmcr.2026.v14i04.026

Pages: 694-698

Background: Focused Antenatal Care (FANC) aims to improve maternal and neonatal outcomes through targeted, high-quality interventions. Despite global recommendations, its effective implementation remains limited in many low resource settings. This study assessed the coverage, quality, and determinants of FANC at the CSCOMU of Banconi, Mali. Methods: A cross-sectional analytical study was conducted from January to June 2023 among 515 postpartum women and antenatal care providers. Data were collected through structured interviews and review of antenatal care records. Quality was evaluated using predefined performance thresholds for coverage and essential interventions. Results: Only 40.78% of women completed at least four antenatal visits. Initiation of care was predominantly late, with 86.41% attending their first visit after the first trimester. Knowledge gaps were substantial: 70.68% of women did not know the recommended number of visits, significantly reducing the likelihood of completing adequate care. Implementation of essential interventions was suboptimal, including incomplete tetanus vaccination, iron supplementation, intermittent preventive treatment for malaria, and HIV screening. Financial barriers led to missed laboratory tests in 96.05% of cases. Documentation quality was poor, with 93.20% of antenatal records inadequately completed. Factors associated with low-quality FANC included low education level, multiparity, poverty, late initiation of care, long waiting times, poor provider–patient interactions, and inadequate service organization. Providers reported needs for training, equipment, and improved patient education tools. Conclusion: FANC coverage and quality at CSCOMU Banconi remain insufficient, with major gaps in timely attendance, preventive interventions, and documentation. Improving FANC requires integrated strategies addressing financial accessibility, health literacy, service organization, and continuous provider training.