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Abstract Introduction: Prenatal care is very important in community health promotion,and inadequate prenatal care can result preterm labor,low birth weight neonate and maternal and neonatal mortality. LQAS is a cheap and also fast approach to assess the quality of care given in prenatal phase. This method helps us to compare all care providers with standards and also with each other and therefore work on their problems. Objective: The aim of this study is to surgery prenatal care quality in urban health centers and health houses of Astara. And also LQAS Method is introduced for local managers’ use. Materials and Methods: This is a descriptive study which was done in 2004 and 18 centers including three urban centers and 15 health centers in Astara were surveyed sampling method was random stratified and six samples were chosen from each center. A questionnaire and a checklist were chosen for data collection. First questioner completed the checklist, which covered utilities needed for prenatal care in each center and health house and then observed the care provided to six pregnant women by one health care worker. Also mothers’ demographic characteristics were studied. Questionnaire and checklist validity and reliability were established. Results: Findings showed that 18 center had shortage of utilities and 8 center had shartage of ferrous sulfate. Regarding quality of prenatal care, history taking and abdominal examination were undesirable in six and eight centers respectively. Conclusion: The quality of prenatal care was very poor in only one center and desirable in all other centers. Overall quality of prenatal care was satisfactory in Astara.

Keywords: Community Health Centers, Pregnancy, Quality of Health Care

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