•The 'five-prong purpose' model describes the functions of antenatal care.•Addressing challenges identified with the five 'A's model prevents refusal of antenatal care.•Refusal of antenatal care leads to adverse pregnancy outcomes and socio-economic challenges.•A fetus acquires ethical rights after birth and refusal of antenatal care endangers the neonate.•Good clinical governance will improve utilization of antenatal care.
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| http://dx.doi.org/10.1016/j.crwh.2019.e00110 | DOI Listing |
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