Background & aim: The purpose of this study was to design a questionnaire for prenatal health care in order to step through the design of a standard tool for measuring and promoting prenatal care. Reducing maternal mortality rates requires extensive management of various aspects of care during different stages of pregnancy. Therefore, the aim of this study was to design a management questionnaire for prenatal care.

Methods: This descriptive-comparative study was carried out to accomplish a comparative study among the advanced countries; therefore, a simple random sampling method based on the population and availability of information available to the three countries (Iran, Japan, and the United Kingdom) was selected. Required data were collected through referrals to official sites, scientific journals, books and databases, and identified the dimensions and indicators that affect health care management and were ranked by experts. Subsequently, with the opinion of specialists and experts, the initial questionnaire was prepared and reassessed by experts. The final questionnaire was distributed to 420 network administrators, randomly assigned to health experts. The data from the field study were analyzed using statistical methods (confirmatory factor analysis).

Results: In the present study, the reliability of the reagents, the composite reliability of the conceptual model, the convergent validity of the model and the differential validity were confirmed, and the indicators of the designed questionnaire included the contents of the package of care that included 15 questions; human resources care 8 questions, equipment and logistics 5 questions, system of statistics and information 3 questions, financial resources 5 questions and management of health care delivery 17 questions, reliability of reagents was confirmed by factor load above 0.7.

Conclusion: Designing a questionnaire and its application for prenatal care can help managers of Kohgiloyeh and Boyer Ahmad provinces focus on structures that are effective in promoting health care during pregnancy and can improve the quality and quantity of prenatal health care.