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Research Article | DOI: https://doi.org/10.31579/2578-8965/280
Department of Nursing Science, Faculty of Health Sciences, Imo State University (IMSU) Owerri, Imo State, Nigeria.
*Corresponding Author: Chima Rosemary Chinenye, Department of Nursing Science, Faculty of Health Sciences, Imo State University (IMSU) Owerri, Imo State, Nigeria.
Citation: Chima R. Chinenye, Nwagwu S. Adanma, Emesowum A. Chinwendu, (2025), The Effects and Difficulties of The Focused Neonatal Care (FANC) Model on Pregnancy Outcomes Among Women Who Attend Neonatal Clinics at The Federal University Teaching Hospital in Owerri, J. Obstetrics Gynecology and Reproductive Sciences, 9(6) DOI:10.31579/2578-8965/280
Copyright: © 2025, Chima Rosemary Chinenye. This is an open-access article distributed under the terms of The Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Received: 28 August 2025 | Accepted: 04 September 2025 | Published: 10 September 2025
Keywords: impact; challenges; focused antenatal care (fanc) model; pregnancy outcomes; owerri
The study was on the impact and challenges of focused antenatal care (FANC) model on pregnancy outcomes among women attending antenatal clinics in Federal University Teaching Hospital, Owerri. The aim of the study include: to assess the level of awareness of FANC model among pregnant women attending antenatal clinics at FUTH, to examine the perceived impact of the FANC model on maternal health during pregnancy, to assess the perceived impact of the FANC model on neonatal health outcomes and to identify the perceived challenges of FANC model among women attending antenatal clinics in FUTH. The student design was descriptive design and the population 81, no sample size as null sampling technique was utilized. The instrument for data collection was a close ended questionnaire and interview. The data was analyzed using Microsoft, percentages and tables. The findings revealed that the respondents have knowledge of FANC 81(100%), mostly via the healthcare practitioners 72 (88.9%), positive impact of FANC on both maternal and neonatal health, and the challenges of FANC include distance, finance, and shortage of medical supplies (18.5%). Recommendations include: FANC care model should be implemented both in rural and urban areas and Healthcare professionals should ensure to properly create awareness on FANC model at all times.
In order to guarantee a safe pregnancy and the best possible health outcomes for the mother and the foetus, antenatal care, or ANC, is an essential part of maternal health services. The WHO developed the evidence-based Focused Antenatal Care (FANC) approach to lower maternal and perinatal mortality rates, especially in low- and middle-income nations, and enhance the quality of prenatal care. By focussing on personalised, all-encompassing treatment that involves fewer but more focused visits, FANC departs from the conventional ANC methodology. [1]
Focused Antenatal treatment (FANC) is evidence based, woman oriented, goal directed and tailored treatment for pregnant women to improve maternal, perinatal and neonatal outcomes. To ensure positive results for both the mother and the foetus, FANC involves clinical evaluation of the pregnant woman and the foetus throughout the pregnancy. Among FANC's initiatives are the detection and treatment of infections and obstetric problems, as well as the encouragement of healthy behaviour and the use of trained attendants. In order to guarantee the birth of healthy neonates, FANC operations are focused on maintaining mother health and enhancing foetal wellness. In low-income nations, the failure to use FANC may make it impossible to lower maternal, perinatal, and neonatal morbidity and mortality. [3]
The FANC approach was created to fill important gaps in traditional ANC, such as the underemphasis on health promotion and risk identification. The four goal-oriented visits that make up FANC, as opposed to normal ANC, are designed to evaluate the health of the mother and foetus, administer preventative care, and instruct mothers on pregnancy, birthing, and postpartum care. Better pregnancy outcomes, including lower rates of low birth weights, preterm births, and maternal death, have been associated with this paradigm [4].
The application of FANC in many developing nations, including Nigeria, is fraught with difficulties despite its proven advantages. These difficulties include a shortage of qualified medical professionals, subpar facilities, and a lack of knowledge among expectant mothers on the significance of FANC services. [5] With an estimated 512 deaths for every 100,000 live births, maternal mortality in Nigeria is still a major public health concern, in part because of insufficient ANC coverage [6].
Since 2013, Ethiopia has been reducing maternal, perinatal, and neonatal mortality by adopting the FANC package in community settings. By connecting primary health care units with health extension workers (HEWs) at community health posts, it seeks to identify pregnant women early and provide FANC. Ethiopia continues to have some of the highest maternal and child health indicators in the world, despite the implementation of FANC. Why those maternal, neonatal, and child health indicators stayed high during the implementation of these successful intervention packages is the key question here. We speculate that these therapies might not be carried out according to standard procedure, which is known as an evidence-practice gap. [7]
One of the most important medical facilities for women in Imo State and the surrounding area is the Federal University Teaching Hospital (FUTH) in Owerri. Although the Federal University Teaching Hospital (FUTH) in Owerri has attempted to integrate the FANC model into prenatal care, little is known about how it affects pregnancy outcomes and the difficulties faced by women and healthcare professionals. Identifying the effects and difficulties associated with FANC is critical for improving maternal and newborn health outcomes and reaching Sustainable Development Goal (SDG), which seeks to provide healthy lives and promote well-being for all [8]
Research indicates that prenatal public health initiatives can effectively lower maternal, perinatal, and neonatal mortality. Interventions throughout pregnancy improved maternal and foetal health and dramatically decreased neonatal mortality in all FANC studies. Increasing the frequency of prenatal visits has been found to reduce maternal, perinatal, and neonatal mortality, according to studies done in Bangladesh, India, Indonesia, and sub-Saharan Africa. Numerous studies showed that supplementing with folic acid and iron during pregnancy Importantly, randomized trials and extensive observational studies showed significant decreases in neonatal mortality and enhancement of maternal and childcare uptake after adopting these treatments as a package in community settings. Those mortality rates are not significantly reduced by the mere number of prenatal visits [10].
Nigeria contributes significantly to the global rates of maternal and perinatal death, making maternal and neonatal health outcomes a major concern. Maternal mortality is 512 deaths per 100,000 live births, according to the Nigeria Demographic and Health Survey. Many of these fatalities are caused by avoidable complications during pregnancy, childbirth, and the postpartum phase. High-quality prenatal care (ANC) is a crucial intervention to lessen these negative consequences. However, despite the Focused Antenatal Care (FANC) model's launch and proven efficacy in improving pregnancy outcomes worldwide, Nigeria has yet to fully adopt and benefit from it because of a number of issues. [11]
Maternal health issues can be effectively addressed by the FANC model, which places a strong emphasis on tailored treatment, fewer but focused visits, and all-encompassing health promotion and disease prevention techniques. Yet, in locations like FUTH, Owerri, important gaps persist. These include poor knowledge among expectant mothers, a lack of educated healthcare workers, and inadequate infrastructure, all of which impede the full adoption and potential advantages of FANC. [12]
In several regions of Africa and the developing world, the utilisation of prenatal services has not been encouraging. Pregnant women typically arrive late for services and receive fewer focused antenatal care (FANC) sessions than is advised. Quality FANC provision is a challenge for developing nations, especially in rural and peri-urban areas. At various levels of the health system, especially in cases where policies are unclear, there is competition for personnel and funding as well as poor communication with other programs or components (e.g., emergency obstetric care, HIV, malaria) [13]. The significance of FANC may be underestimated as a result of inadequate communication between healthcare professionals and the belief held by some women, families, and communities that pregnancy is a normal part of life [14].
Additionally, many pregnant women in Nigeria continue to suffer from avoidable problems like preterm labour, anaemia, and preeclampsia, which are frequently made worse by a lack of access to high-quality prenatal care [15]. Concerns concerning the effectiveness of FANC's implementation and its influence on pregnancy outcomes in tertiary healthcare facilities such as FUTH, Owerri, are raised by these ongoing difficulties. By examining the effects and difficulties of the FANC model on pregnancy outcomes among women who visit antenatal clinics at FUTH, Owerri, this study seeks to close these gaps. The results will offer proof to support initiatives and policies aimed at enhancing maternal and newborn health in the area.
In most African civilisations, there is a widespread belief in the existence of witches, a supernatural entity that has the capacity to control and manipulate people and families for malevolent ends. Pregnancy disclosure may be delayed and the likelihood of receiving early focused antenatal care services may be reduced due to the widespread belief in this specific bad spirit. For instance, ethnographic research from Mozambique and southern Tanzania showed that pregnant women intentionally postponed ANC initiation in order to shield the foetus from witchcraft and sorcery attacks by envious relatives and neighbours. [16]
This study, therefore, seeks to examine the impact and challenges of the FANC model on pregnancy outcomes among women attending antenatal clinics at Federal University Teaching Hospital (FUTH) Owerri.
Research Design
A descriptive cross-sectional survey design was adopted for this study.
Study area
This study was carried out at Federal University Teaching Hospital, Owerri. The setting includes: the antenatal clinics within the hospital where the pregnant women receive focused antenatal care and the hospital environment where healthcare providers and facilities for maternal care are present. The Federal University Teaching Hospital Owerri (FUTHO), located at 105 Hospital Road, Orlu Road, Owerri, Imo State, Nigeria,
Target Population
The target population are pregnant women attending antenatal clinics at FUTHO who are receiving care under FANC model. The target population size is 517.
Ethical Approval: Ethical approval was obtained from the ethical review board/ committee of IMSUTH and all study protocols and tools to be used for the study was approved
Sampling Technique
A purposive sampling technique was used to select a sample of 250 respondents for the study. Purposive sampling was chosen because it allows for the deliberate selection of participants who meet specific criteria relevant to the study's objectives. In this context, women attending antenatal clinics at Federal University Teaching Hospital (FUTH), Owerri, were selected because they have direct experience with the Focused Antenatal Care (FANC) model. This ensures that the sample includes individuals who can provide in-depth and context-specific insights into the impact and challenges of the FANC model on pregnancy outcomes.
Inclusion Criteria
1. Attendance of Antenatal Care: Women who have attended at least three Focused Antenatal Care (FANC) sessions at FUTH during their current or most recent pregnancy.
2. Age Range: Pregnant women or mothers aged 18–45 years.
3. Pregnancy Stage: Women in their second or third trimester.
4. Language Proficiency: Participants who can communicate effectively in English or the local language used in the antenatal clinic.
5. Consent: Women who willingly provide informed consent to participate in the study.
Exclusion Criteria
1. Incomplete FANC Visits: Women who attended fewer than three FANC sessions during their pregnancy.
2. Non-FANC Attendees: Women who received antenatal care under a different model or at other healthcare facilities.
3. Medical Conditions: Women with high-risk pregnancies caused by pre-existing medical conditions (e.g., diabetes, hypertension) unrelated to antenatal care quality, as these may confound the study outcomes.
4. Communication Barriers: Women who cannot effectively communicate in English or the local language.
5. Declined Consent: Women who do not provide informed consent to participate in the study.
Instrument for Data Collection
A well-structured questionnaire titled “Impact and Challenges of Focused Antenatal Care Model on Pregnancy Outcomes Questionnaire” (ICFACMPOQ)was used for data collection. Questions were drawn based strictly on the stated objectives. The questionnaire was made in five sections. Section A elicited demographic information of the respondents, section B assessed the level of awareness of FANC model among pregnant women attending antenatal clinics at FUTH, section C elicited information on the perceived impact of the FANC model on maternal health during pregnancy, section D elicited information on the perceived impact of the FANC model on neonatal health outcomes while section E elicited information on the perceived challenges of FANC model among women attending antenatal clinics in FUTH. A four point rating scale that ranged from Strongly Agree = 4, Agree = 3, Disagree = 2 and Strongly Disagree = 1, will be used to survey examination malpractice among teachers and students.
Validity of the Instrument
Face and content validity was used to validate the research instrument. Content Validity to ensure that the instrument measures all relevant aspects of the research objectives by developing a structured questionnaire and interview guide based on a thorough literature review and input from experts in maternal and antenatal care and with the help of the researchers supervisor. Consult professionals such as gynecologists, midwives, nurses, and research experts to evaluate whether the items cover all key variables (e.g., pregnancy outcomes, challenges of FANC) then use their feedback to refine and improve the tools. The experts checked the appropriateness of the items in terms of coverage, clarity of language, suitability and relevance. On the basis of the suggestions and recommendations of the expert, there may be corrections on the items in the instrument that were taken to their appropriate positions or deleted. Only the items accepted by the validates were considered and used for the study.
Reliability of the Instrument
The reliability of the instrument was established with a trial test administered to 20 pregnant women in FMC Umuahia, Abia State. This was so because, these respondents in FMC Umuahia Abia State have similar experience regarding the impact and challenges of Focused Antenatal Care (FANC) model on pregnancy outcomes and they are not part of the study. The reliability of the instrument will be determined by using Cronbach’s Alpha. For the level of awareness of FANC model among pregnant women attending antenatal clinics, the perceived impact of the FANC model on maternal health during pregnancy, the perceived impact of the FANC model on neonatal health outcomes and the perceived challenges of FANC model among women attending antenatal clinics in FUTH, the co-efficient alpha for the four sections were 0.832, 0.861, 0.856 and 0.911 respectively which gave overall reliability mean of 0.865. This shows that the instrument is highly reliable.
Method of Data Collection
The researcher administered the instrument through one research assistant who is a midwife selected from FUTH Owerri and is familiar with the research environment. The research assistant was briefed on how to assist respondents for the study. The assistant helped in covering the pregnant women in FUTH. The researcher and her assistant did on the spot administration and retrieval of the instruments from respondents to ensure 100% retrieval rate. In this process the researcher solicited for the cooperation of the pregnant women. Instructions were given on how to complete the questionnaire in order to safeguard errors due to misunderstanding of the question. Respondents were encouraged to complete and return the questionnaire on the spot. 100 questionnaires were distributed to the respondents which were all retrieved showing 100% retrieval rate.
Statistical analysis
Frequency, Percentage, and Mean which are descriptive statistics were used to answer research question 1 – 4 while Chi-Square test was used to test the stated hypotheses at a significance level of 0.05. For answering research questions, 2.50 was used as cut off point which was obtained by adding the 4-point rating scale and dividing by 4 (4+3+2+1 = 10/4 = 2.5). Any item with a mean score of 2.50 or above was regarded as agreed while any item with a mean score of 2.49 or below was regarded as disagreed. All the statistical analyses were performed using Statistical Package for Social Sciences (SPSS), version 22.0.
| Variable | Category | Frequency | Percentage (%) |
|---|---|---|---|
| Age | Below 20 20 - 40 Above 40 | 3 109 138 | 1.20 43.60 55.20 |
| Marital Status | Single Married Divorced/Separated Widowed | 9 24 0 0 | 3.60 96.40 0.00 0.00 |
Religion | Christianity Islam Traditionalist | 250 0 0 | 100 0 0 |
| Employment status | Unemployed Self-employed/Artisan Employed | 15 173 62 | 6.00 69.20 24.80 |
Educational Level
| Primary education Secondary education Tertiary education
Total | 3 108 139
250 | 1.20 43.20 55.60
100 |
Table 1: Demographic Data of the Respondents (n = 250)
The analysis on table 4.1 above which was carried out to assess the demographic characteristics of the pregnant women revealed that 3(1.20%) are below 20 years, 109(43.60%) are between 20 – 40 years while 138(55.20%) are above 40 years old. 9(3.60%) are single while 241(96.40%) are married as none of them 0(0%) is divorced/separated or widowed. All the respondents 250(100%) are Christians as none of them 0(0%) is Islam or Traditionalist. 15(6%) are unemployed, 173(69.20%) are self-employed/artisan while 62(24.80%) are employed. 3(1.20%) had primary education, 108(43.20%) had secondary education while 139(55.60%) had tertiary education.
| S/N |
Items | SA 4 | A 3 | D 2 | SD 1 | Total | Mean | Remark |
| 1 | I am aware of the components of the Focused Antenatal Care (FANC) model | 81 | 127 | 39 | 3 |
786 |
3.14 |
Agreed |
| 2 | I have received adequate information on the FANC model during my antenatal visits | 250 | 0 | 0 | 0 |
1000 |
4.00
|
Agreed |
| 3 | FANC model can improve maternal and neonatal health | 250 | 0 | 0 | 0 | 1000 | 4.00 | Agreed |
| 4 | I am familiar with the recommended schedule of antenatal visits under the FANC model | 196 | 54 | 0 | 0 |
946 |
3.78 |
Agreed |
| 5 | Healthcare providers at this clinic have explained the principles of the FANC model to me | 78 | 123 | 49 | 0 |
779 |
3.12 |
Agreed |
| 6 | I understand how the FANC model differs from traditional antenatal care practices | 104 | 92 | 39 | 15 |
785 |
3.14 |
Agreed |
| Grand Mean | 3.53 | Agreed | ||||||
Table 2: Awareness of FANC model among pregnant women (n = 250)
The criterion mean for this study is 2.5. Hence, weighted mean response equal to or above the criterion mean (2.5) indicates acceptance region whereas weighted mean response below the criterion mean (2.5) denotes rejection region. The analysis on table 2 which seeks to assess the level of awareness of FANC model among pregnant women attending antenatal clinics at FUTH shows a grand mean of 3.53 which exceeds the criterion mean of 2.5 which shows that the respondents have good knowledge of FANC model among pregnant women. Specifically, the mean values of the items are above the criterion mean (i.e3.14, 4.00, 4.00, 3.78, 3.12, 3.14> 2.5) which shows that the pregnant women are aware of the components of the Focused Antenatal Care (FANC) model, they have received adequate information on the FANC model during my antenatal visits, FANC model can improve maternal and neonatal health, they are familiar with the recommended schedule of antenatal visits under the FANC model, Healthcare providers at FUTH have explained the principles of the FANC model to the pregnant women and they understand how the FANC model differs from traditional antenatal care practices.
| S/N |
Items | SA 4 | A 3 | D 2 | SD 1 | Total | Mean | Remark |
| 1 | The FANC model can help to identify potential complications during pregnancy | 227 | 23 | 0 | 0 |
977 |
3.91 |
Agreed |
| 2 | I feel more informed about maternal health because of the FANC model | 194 | 56 | 0 | 0 |
944 |
3.78 |
Agreed |
| 3 | The FANC model helps to ensure timely identification and management of health risks during pregnancy | 250 | 0 | 0 | 0 |
1000 |
4.00 |
Agreed |
| 4 | The personalized care under the FANC model is beneficial to pregnant women | 250 | 0 | 0 | 0 |
1000 |
4.00 |
Agreed |
| 5 | The FANC model increases confidence in managing pregnancy-related issues | 250 | 0 | 0 | 0 |
1000 |
4.00 |
Agreed |
| Grand Mean | 3.94 | Agreed | ||||||
Table 3: Impact of the FANC model on maternal health (n = 250)
The analysis on table 3 which seeks to examine the perceived impact of the FANC model on maternal health during pregnancy shows a grand mean of 3.94 which exceeds the criterion mean of 2.5 which shows that the respondents accepted the items as the impact of the FANC model on maternal health. Specifically, the mean values of the items are above the criterion mean (i.e 3.91, 3.78, 4.00, 4.00, 4.00 > 2.5) which shows that the FANC model can help to identify potential complications during pregnancy, they feel more informed about maternal health because of the FANC model, the FANC model helps to ensure timely identification and management of health risks during pregnancy, the personalized care under the FANC model is beneficial to pregnant women and the FANC model increases confidence in managing pregnancy-related issues.
| S/N | ITEMS | SA 4 | A 3 | D 2 | SD 1 | Total | Mean | Remark |
| 1 | The FANC model providesessential knowledge to ensure baby’s health | 250 | 0 | 0 | 0 |
1000 |
4.00 |
Agreed |
| 2 | The FANC model increases preparedness for delivery and postnatal care | 247 | 3 | 0 | 0 |
997 |
3.99 |
Agreed |
| 3 | The FANCmodel improves health outcomes of babies | 250 | 0 | 0 | 0 |
1000 |
4.00 |
Agreed |
| 4 | The FANC model emphasizes the importance of newborn care practices | 216 | 34 | 0 | 0 |
966 |
3.86 |
Agreed |
| 5 | The regular check-ups under the FANC model has enhanced baby’s growth and development | 197 | 48 | 5 | 0 |
942 |
3.77 |
Agreed |
| 6 | FANC model has reduced the risk of complications for babies | 250 | 0 | 0 | 0 |
1000 |
4.00 |
Agreed |
| Grand Mean | 3.94 | Agreed | ||||||
Table 4: Impact of the FANC model on neonatal health outcomes (n = 250)
The analysis on table 4 which seeks to assess the perceived impact of the FANC model on neonatal health outcomes shows a grand mean of 3.94 which exceeds the criterion mean of 2.5 which shows that the respondents accepted the items as the perceived impact of the FANC model on neonatal health outcomes. Specifically, the mean values of the items are above the criterion mean (i.e 4.00, 3.99, 4.00, 3.86, 3.77, 4.00 > 2.5) which shows that the perceived impact of the FANC model on neonatal health outcomes include the provision of essential knowledge to ensure baby’s health, the FANC model also increases preparedness for delivery and postnatal care, improves health outcomes of babies, emphasizes the importance of newborn care practices, enhancement in baby’s growth and development and reduction in the risk of complications for babies.
| S/N | ITEMS | SA 4 | A 3 | D 2 | SD 1 | Total | Mean | Remark |
| 1 | The cost of implementing the FANC model is a significant barrier for me | 94 | 107 | 36 | 13 |
782 |
3.13 |
Agreed |
| 2 | I feel that some aspects of the FANC model are too complex to understand or follow | 81 | 96 | 71 | 2 |
756 |
3.02 |
Agreed |
| 3 | Lack of adequate facilities affects full implementation of FANC model | 238 | 12 | 0 | 0 |
988 |
3.95 |
Agreed |
| 4 | Cultural or religious beliefs and practices can affect the utilization of FANC model | 250 | 0 | 0 | 0 |
1000 |
4.00 |
Agreed |
| 5 | The FANC model requires more time than traditional antenatal care practices | 117 | 76 | 37 | 20 |
790 |
3.16 |
Agreed |
| 6 | The healthcare providers are not always available to deliver FANC services effectively due to busy schedule | 43 | 91 | 57 | 59 |
618 |
2.47 |
Disagreed |
| Grand Mean | 3.29 | Agreed | ||||||
Table 5: Challenges of FANC model among women attending antenatal clinics (n = 250)
The analysis on table 5 which seeks to identify the perceived challenges of FANC model among women attending antenatal clinics in FUTH shows a grand mean of 3.29 which exceeds the criterion mean of 2.5 which shows that the respondents accepted most of the items as the perceived challenges of FANC model among women attending antenatal clinics in FUTH. Specifically, the mean values of the items are above the criterion mean (i.e3.13, 3.02, 3.95, 4.00, 3.16> 2.5) which shows that the perceived challenges of FANC model among women attending antenatal clinics in FUTH include the cost of implementing the FANC model, some aspects of the FANC model are too complex to understand or follow, inadequate facilities affects full implementation of FANC model, cultural or religious beliefs and practices can affect the utilization of FANC model and the FANC model requires more time than traditional antenatal care practices. But the respondents rejected that the healthcare providers are not always available to deliver FANC services effectively due to busy schedule is a perceived challenge of FANC model among women attending antenatal clinics in FUTH.
According to the results, most expectant mothers were well knowledgeable about the Focused Antenatal Care (FANC) paradigm. The findings of [18], who observed that regular health education enhanced pregnant women's understanding, are supported by this increased awareness, which is ascribed to health discussions during prenatal visits. This is also consistent with research by [19], which showed that focused education initiatives raise awareness. Nonetheless, particular knowledge gaps in less well-known FANC components were found, highlighting the necessity of specialised interventions aimed at marginalised groups. These discrepancies are consistent with the findings of [20], who noted that rural healthcare providers frequently lacked the means to distribute thorough FANC information.
With a grand mean of 3.94, the study showed that the FANC model significantly improved mother health. The respondents emphasised greater confidence in handling pregnancy-related concerns and better detection of consequences. The FANC methodology, according to the participants, greatly enhanced maternal health by enabling the early detection and treatment of issues including anaemia and hypertension. The study by [21], which emphasised the importance of FANC in lowering maternal mortality by giving priority to personalised care, is supported by our conclusion. Furthermore, the respondents' focus on birth readiness is consistent with [22], who found that women who had thorough prenatal care were more equipped to handle delivery emergencies.
FANC dramatically enhances infant health outcomes, according to the data (grand mean of 3.94). Improved postnatal care and delivery readiness, as well as a lower chance of newborn problems, were important factors.
Respondents agreed that by encouraging vital behaviours like breastfeeding and vaccination, FANC had a good impact on newborn health. These results are consistent with a meta-analysis by [23] that showed a 15
The study found that although pregnant women attending prenatal clinics at Federal University Teaching Hospital in Owerri had a good degree of awareness of the FANC model, there were still gaps in their thorough understanding of the FANC components. This emphasises how crucial ongoing health education is, especially in places with low healthcare literacy.
The results reaffirmed how well the FANC model works to enhance mother health. If properly applied, this strategy has the potential to lower maternal death rates due to the early detection and treatment of pregnancy problems.
The study found that by encouraging preventive interventions like tetanus toxoid immunisation and malaria prophylaxis, the FANC model has a favourable impact on infant health outcomes. This suggests that in order to optimise infant survival rates, FANC standards must be consistently followed.
The study emphasised important obstacles to the broad use of the FANC model, namely budgetary limitations and cultural attitudes. To guarantee fair access to prenatal care, removing these obstacles calls for a cooperative strategy involving legislators, medical professionals, and community members.
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Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.
Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."
I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.
To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.
"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".
I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.
Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.
We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.
My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.
To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina
Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.
Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.
Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD
Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.
Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. The peer review process of the journal of Clinical Cardiology and Cardiovascular Interventions was excellent and fast, as was the support of the editorial office and the quality of the journal. Kind regards Walter F. Riesen Prof. Dr. Dr. h.c. Walter F. Riesen.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. Thank you for publishing our article, Exploring Clozapine's Efficacy in Managing Aggression: A Multiple Single-Case Study in Forensic Psychiatry in the international journal of clinical case reports and reviews. We found the peer review process very professional and efficient. The comments were constructive, and the whole process was efficient. On behalf of the co-authors, I would like to thank you for publishing this article. With regards, Dr. Jelle R. Lettinga.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, I would like to express my deep admiration for the exceptional professionalism demonstrated by your journal. I am thoroughly impressed by the speed of the editorial process, the substantive and insightful reviews, and the meticulous preparation of the manuscript for publication. Additionally, I greatly appreciate the courteous and immediate responses from your editorial office to all my inquiries. Best Regards, Dariusz Ziora
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation, Auctores Publishing LLC, We would like to thank the editorial team for the smooth and high-quality communication leading up to the publication of our article in the Journal of Neurodegeneration and Neurorehabilitation. The reviewers have extensive knowledge in the field, and their relevant questions helped to add value to our publication. Kind regards, Dr. Ravi Shrivastava.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, Auctores Publishing LLC, USA Office: +1-(302)-520-2644. I would like to express my sincere appreciation for the efficient and professional handling of my case report by the ‘Journal of Clinical Case Reports and Studies’. The peer review process was not only fast but also highly constructive—the reviewers’ comments were clear, relevant, and greatly helped me improve the quality and clarity of my manuscript. I also received excellent support from the editorial office throughout the process. Communication was smooth and timely, and I felt well guided at every stage, from submission to publication. The overall quality and rigor of the journal are truly commendable. I am pleased to have published my work with Journal of Clinical Case Reports and Studies, and I look forward to future opportunities for collaboration. Sincerely, Aline Tollet, UCLouvain.
Dear Ms. Mayra Duenas, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. “The International Journal of Clinical Case Reports and Reviews represented the “ideal house” to share with the research community a first experience with the use of the Simeox device for speech rehabilitation. High scientific reputation and attractive website communication were first determinants for the selection of this Journal, and the following submission process exceeded expectations: fast but highly professional peer review, great support by the editorial office, elegant graphic layout. Exactly what a dynamic research team - also composed by allied professionals - needs!" From, Chiara Beccaluva, PT - Italy.
Dear Maria Emerson, Editorial Coordinator, we have deeply appreciated the professionalism demonstrated by the International Journal of Clinical Case Reports and Reviews. The reviewers have extensive knowledge of our field and have been very efficient and fast in supporting the process. I am really looking forward to further collaboration. Thanks. Best regards, Dr. Claudio Ligresti
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation. “The peer review process was efficient and constructive, and the editorial office provided excellent communication and support throughout. The journal ensures scientific rigor and high editorial standards, while also offering a smooth and timely publication process. We sincerely appreciate the work of the editorial team in facilitating the dissemination of innovative approaches such as the Bonori Method.” Best regards, Dr. Matteo Bonori.
I recommend without hesitation submitting relevant papers on medical decision making to the International Journal of Clinical Case Reports and Reviews. I am very grateful to the editorial staff. Maria Emerson was a pleasure to communicate with. The time from submission to publication was an extremely short 3 weeks. The editorial staff submitted the paper to three reviewers. Two of the reviewers commented positively on the value of publishing the paper. The editorial staff quickly recognized the third reviewer’s comments as an unjust attempt to reject the paper. I revised the paper as recommended by the first two reviewers.
Dear Maria Emerson, Editorial Coordinator, Journal of Clinical Research and Reports. Thank you for publishing our case report: "Clinical Case of Effective Fetal Stem Cells Treatment in a Patient with Autism Spectrum Disorder" within the "Journal of Clinical Research and Reports" being submitted by the team of EmCell doctors from Kyiv, Ukraine. We much appreciate a professional and transparent peer-review process from Auctores. All research Doctors are so grateful to your Editorial Office and Auctores Publishing support! I amiably wish our article publication maintained a top quality of your International Scientific Journal. My best wishes for a prosperity of the Journal of Clinical Research and Reports. Hope our scientific relationship and cooperation will remain long lasting. Thank you very much indeed. Kind regards, Dr. Andriy Sinelnyk Cell Therapy Center EmCell
Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. It was truly a rewarding experience to work with the journal “Clinical Cardiology and Cardiovascular Interventions”. The peer review process was insightful and encouraging, helping us refine our work to a higher standard. The editorial office offered exceptional support with prompt and thoughtful communication. I highly value the journal’s role in promoting scientific advancement and am honored to be part of it. Best regards, Meng-Jou Lee, MD, Department of Anesthesiology, National Taiwan University Hospital.
