Background & aim: Pregnancy and childbirth in most developing countries are major causes of illness, death and disability of women in reproductive age. Reducing the mortality rate of pregnant mothers requires extensive management in different aspects of care. Therefore, the purpose of this study was to determine and evaluate the effects of management model structures on prenatal health care in Kohgiluyeh and Boyerahmad province.

Methods: This is a descriptive-analytical and cross-sectional study carried out in Kohgiluyeh and Boyer Ahmad province on health network managers of affiliated cities, family health experts, health workers and midwives working in comprehensive health services centers in quantitative and qualitative manner in 2018. To collecting data, questionnaires were distributed among 420 target groups using multistage sampling method.  Descriptive statistics were used to describe the quantitative variables of the central indicators such as mean and standard deviation, as well as qualitative variables. Then, PLS software was used for path analysis, structural equation modeling, path coefficients and T values.

Results: In this study, 400 targets were participated, 70% of whom were female and the rest were male. Most participants (51.5%) were between 25 and 35 years of age. In this study, the effect of facilities and equipment on care (p <0.01), procurement management, care delivery (p <0.001), ICT system (p <0.001) and care contents (p <0.01), and financial resources (p <0.05) had significant effect, while HRM was not significant and had the least effect on prenatal health care management.

Conclusion: The results showed that provincial managers should pay special attention to the improvement of ICT structures, facilities, equipments and human resources management.