Background: Continuity of antenatal care (ANC) is essential for monitoring maternal and fetal health, identifying pregnancy complications at an early stage, and providing preventive and promotive interventions throughout pregnancy. Regular ANC visits also provide opportunities for healthcare professionals to assess maternal conditions, monitor fetal growth, provide health education, and encourage healthy pregnancy behaviors. However, some pregnant women may miss scheduled visits because of limited knowledge, forgetfulness, difficulties in planning appointments, or insufficient understanding of the importance of regular follow-up. Digital booklets may provide accessible and concise information that can be reviewed repeatedly and may be combined with reminders to support ANC attendance. Objective: This study aimed to examine the effect of a digital booklet combined with reminder messages on pregnant women’s adherence to scheduled ANC visits. Methods: This draft uses data from a prospective quasi-experimental study involving 88 pregnant women who were allocated into an intervention group and a comparison group, with 44 participants in each group. The intervention group received a digital booklet containing information about the importance of ANC, recommended visit schedules, pregnancy danger signs, preparation for ANC visits, and maternal health practices. Participants also received weekly reminder messages for eight weeks. The comparison group received routine ANC information without the digital booklet and scheduled reminders. ANC adherence was defined as attendance at all scheduled ANC visits during the follow-up period. Attendance records were used to assess adherence and the number of completed visits. Results: Based on the data, ANC adherence was 84.1% in the intervention group compared with 61.4% in the comparison group, with a statistically significant difference (p=0.017). The intervention group also completed a higher mean number of scheduled ANC visits during follow-up. Conclusion: A digital booklet combined with regular reminders may support ANC adherence by improving access to information, appointment planning, awareness of the importance of routine follow-up, and maternal engagement with pregnancy care. However, the findings presented are based on data. Actual field data, appropriate ethical approval, informed consent, and valid statistical analysis are required before publication.
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