<p>To reduce maternal mortality, Burkina Faso has been offering free care to childbearing women since 2016. The free care program is aimed to increase the access of care to this vulnerable population. However, is the care offered free of charge of good quality? Based on the paucity of previous evaluation of the competences of healthcare workers (HCWs) during prenatal care in the free care program period, we would like to assess the adherence level of HCWs to the prenatal care tasks in the context of free care.</p>