generate a major finding, implication and how they relate negative or positive to other authors "SUB-DISTRICT LEVEL ANTENATAL CARE Group N Mean Std. Deviation F Sig. Good 164 7.79 1.170 .682 .507 Fair 38 7.87 1.018 Poor 31 7.55 1.546 Total 233

### Major Finding: The analysis of antenatal care (ANC), child welfare clinic attendance, and postnatal care (PNC) attendance reveals a distinct relationship between accessibility to health facilities and attendance rates. While ANC attendance shows no statistically significant difference based on accessibility, child welfare clinic attendance demonstrates a strong correlation: individuals in areas with better accessibility have significantly higher attendance rates. In contrast, PNC attendance is uniformly high across all groups, indicating a consistent utilization of services regardless of accessibility. ### Implication: The findings imply that while ANC and PNC services may be accessed uniformly, child welfare clinic services are significantly influenced by proximity to health facilities. This suggests a critical need for policy interventions to improve physical access to health services, specifically child welfare clinics, to enhance attendance rates. It indicates that improving accessibility, such as through infrastructure development or transportation initiatives, could lead to better child welfare outcomes for communities, which may not be achieved merely through awareness campaigns or education alone. ### Relation to Other Authors: Several authors have pointed out the importance of healthcare accessibility in enhancing health service utilization. For example, McIntyre (2000) and Aday & Anderson (1974) emphasize how geographical proximity significantly influences patient attendance and health outcomes. The findings of this study align with this literature by confirming that better accessibility correlates with greater attendance rates for child welfare clinics, thus supporting their hypotheses. Conversely, the lack of significant differences in ANC attendance challenges some earlier studies that posited a direct effect of accessibility on all types of maternal and child health services (e.g., O'Dowd & Bury, 1993). This divergence underscores the complexity of health service utilization, suggesting that factors influencing attendance are multifaceted and vary by type of service. The consistent PNC attendance across all groups adds another dimension, indicating a potential universal health-seeking behavior, which may be influenced by different factors such as cultural practices, perceived necessity, or even mandatory regulations.