In Kenya, the World Health Organization (WHO) focused antenatal care guidelines, which recommend at least four antenatal visits for women with low-risk pregnancy and provide evidence-based content for each visit,were adopted and implemented in 2001 [11]. Despite a 92% national average for at least one ANC visit in 2008,the maternal mortality rate in Kenya remains at a high
of 488 maternal deaths per 100,000 live births [12].