reducing maternal mortality and morbidity. Service delivery by healthcare workers

during antenatal significantly impact the quality of care provided and utilisation of

services. examined antenatal care service delivery and utilisation in

Federal Medical Centre (FMC) Makurdi. Specifically, the study assessed the attitude

of healthcare workers towards pregnant women during antenatal care services

delivery and evaluated how the attitude of healthcare workers affects pregnant

women's utilisation of antenatal care services. Andersen behavioural model of health

service utilization was utilized. The study was a cross sectional survey of pregnant

women. 424 Respondents were purposively selected. Questionnaire and Key

Informant Interview (KII) guides were used to collect data. Data were analyzed using

frequency distribution tables, Chi-square, and content analysis. The study revealed

attitude of healthcare workers towards pregnant women's attending antenatal care

services to include being ignored/neglected when needing attention (50.6%), rude

behaviour (53.4%), not being attended to on time (51.1%), inadequate attention

(56.5%), discriminatory attittude (58.0%) and verbal abuse (53.7%). The attitude of

health workers was found to discourage antenatal attendance, bypassing some

sections during antenatal, reluctant in keeping up with appointments, discouraged

women from asking questions during health education among other effects. The

study recommended that the management of the Federal Medical Centre should

install closed-circuit television (CCTV) cameras along antenatal service units to help

monitor attitude of workers.