Determinants of quality antenatal care among adolescent girls and women in Sierra leone: insights from the 2019 demographic health survey

While most adolescent girls and women in Sierra Leone received quality antenatal care, significant disparities persist based on demographic, socioeconomic, and healthcare-related factors. These findings underscore the urgent need for targeted interventions by the national directorate of reproductive and child health, reproductive health and family planning, and school and adolescent health programmes. Strategies should prioritize improving early ANC initiation, expanding access to skilled providers, and addressing barriers faced by the poorest and urban populations. Tailored community outreach, education campaigns are essential to reduce inequities and ensure that all pregnant adolescent girls and women receive comprehensive, high-quality ANC services.