Abstract
Objective: It is important to provide adequate antenatal care (ANC) for the lowest maternal-
 fetal complications in pregnancy. The increase in the level of health literacy increases the
 quality of the ANC, and compliance with the follow-up. To develop a tool to evaluate health
 literacy (HL) levels of pregnant women in antenatal care (ANC).
 Methods: This study is methodological research conducted between 15.02.2016-01.07.2018.
 "Health Literacy Assessment Tool related to Antenatal Care (HLAT-ANC)" was developed.
 Its validity-reliability was tested by item analysis, exploratory factor analysis (EFA),
 concurrent criterion validity, intergroup dissociation, and confirmatory factor analysis (CFA),
 and determination of the Kuder-Richardson-20 (KR-20) coefficient.
 Results: The discrimination coefficients of the items in HLAT-ANC varied between 0.20-
 0.57 and factor loads between 0.34-0.85. It was determined that HLAT-ANC has KR-20≥0.85
 in each subdomain. The scores of fit criteria obtained in the confirmatory factor analysis were
 within acceptable limits.
 Conclusions: HLAT-ANC was found to be a valid and reliable scale.
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