Early antenatal care (ANC) booking provides pregnant women with an opportunity and sufficient time to be screened and treated for any abnormal conditions detected as early as possible and where necessary, referral to the next level of experties (specialist midwife, doctor or hospital with specialist) for further management. Early detection of pregnancy is critical as women are given an opportunity to make an informed decision regarding the pregnancy in case it is unplanned. It provides opportunity for either termination or early antenatal booking. As of 1st September 2020 urine testing for pregnancy should be included as one of the vital checkings to all women of child bearing potential presenting themselves at health care facilities at all service points (PHC services, chronic care, as well as in the wards). Ward based outreach teams should also conduct pregnancy screening in the households.