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Background: Globally, approximately 515,000 women die from pregnancy related complications each year. According to WHO, about 90-95% Maternal and infant mortality remains a huge public health problem in developing countries. One of the strategies to minimise the risks of both maternal and infant mortality is access to and utilisation of antenatal care (ANC) services. The World Health Organization (WHO) recommends antenatal care (ANC) as an important approach for the care of pregnant women. Method: Apprasial studies program using Critical Appraisal Skills Program (CASP) and methods of synthesis using a modification PEOS data sources obtained from PubMed, Sincedirect, and ProQuest. Results: Accessibility factors such as lack of transport, high transport costs and long distances to health care facilities, health care workers- attitudes, type and quality of services provided, family support, and social pregnancy. Conclusion: Pregnant women are expected to routinely check their condition at least 4 times of the standard visit (K4) during pregnancy