Table 4.

Pregnant women’s barriers and facilitators for the use of ANC

Factor & components	Barrier	Facilitator
Internal factors
Knowledge and Beliefs: Perceptions on the ANC importance	Not aware of each component value neither its significance, they are lay across beliefs.	It is recognized. Some women seem to be giving up the idea of receiving care at the community level
		They seek to "open the record" in order to make easier admission for delivery at health center
Attitudes & Behaviors: Approach to the health system for ANC and delivery	Arrival to ANC care during 2nd and 3rd trimester, due to impossibility to prove the pregnancy	Willingness to deliver at institutional level.
	Perception that they will not receive any care until pregnancy is evident.
External factors
Accessibility: Transportation	Distance and lack of transportation prevents accessing to health centers and laboratory
Accessibility: Economic	Pregnancy test are not affordable, resulting into late consultation
	Lack of integral free treatment to partners for syphilis treatment, prevent women to succeed in treatment