Knowledge and Preconception Care Seeking Practices among Reproductive-age Diabetic Women in Zambia

Mutale, Patricia; Kwangu, Mwenya; Muchemwa, Chishala Mirriam Kapambwe; Silitongo, Moono; Chileshe, Mutale; Siziya, Seter

doi:10.21106/ijtmrph.48

Cited by 11 publications

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“…However, this study was lower than the study conducted in Zambia (47.4%). 30 This might be due to the difference in the study population. The study from Zambia was conducted on patients with diabetes on follow-up and frequent contact with healthcare providers increases the chance of obtaining information.…”

Section: Open Accessmentioning

confidence: 98%

What do women know before getting pregnant? Knowledge of preconception care and associated factors among pregnant women in Mana district, Southwest Ethiopia: a community-based cross-sectional study

et al. 2020

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ObjectiveTo assess knowledge of preconception care and associated factors among pregnant women in Mana district, Jimma zone, Oromia Region, Southwest Ethiopia, in 2019.DesignA community-based cross-sectional study was conducted from 2 March to 10 April 2019.SettingThe study was conducted in Mana district. Eight rural Gandas and one urban Ganda were included in the study.ParticipantsOut of 715 pregnant women in the selected rural Gandas, 553 participated in the study, whereas 70 out of 88 were recruited from the urban Ganda. A total of 623 pregnant women participated in the study.Primary and secondary outcome measuresWomen’s knowledge of preconception care was determined. Descriptive statistics were calculated as necessary. Logistic and linear regression analyses were used to identify the association of women’s knowledge of preconception care with explanatory variables.ResultsAmong 623 respondents, 133 (21.3%) of pregnant women had good knowledge of preconception care. Multivariable linear regression analysis showed that women who attended secondary and above education (β=3.6; p<0.001) and those for whom their husbands attended secondary and above education (β=2.3; p=0.001), planned pregnancy status (β=1.2; p=0.005), being on follow-up for pre-existing medical illnesses (β=1.5; p=0.014) and having four or more antenatal care visits (β=0.4; p=0.016) were significantly associated with women’s knowledge of preconception care.ConclusionThe findings imply that providing health education and health promotion for women is important to improve their level of knowledge of preconception care.

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Section: Open Accessmentioning

confidence: 98%

What do women know before getting pregnant? Knowledge of preconception care and associated factors among pregnant women in Mana district, Southwest Ethiopia: a community-based cross-sectional study

et al. 2020

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“…Results from this study showed fair knowledge though with poor practice of seeking preconception care. Contrary to a poor knowledge level as well as poor practice of seeking preconception care reported in a study conducted in Zambia [17]. Another study in Ethiopia also found that level of women's knowledge of preconception care is relatively low [14].…”

Section: Discussionmentioning

confidence: 80%

Knowledge and Perceptions of Preconception Care Among Health Workers and Women of Reproductive Age in Mzuzu City, Malawi. A Cross-sectional Study

Munthali-Nkhoma¹,

Kazanga-Chiumia²,

Mandiwa³

et al. 2021

Preprint

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Background: Preconception care is one of the preventive strategies in maternal and new-born health as recommended by WHO. However, in sub-Saharan Africa there is poor preconception care practices. This study examined knowledge and perceptions of preconception care among health workers and women of reproductive age group in Mzuzu city, Malawi. Methods: A descriptive cross-sectional mixed methods approach utilizing quantitative and qualitative methods was employed. Selection of respondents was done through a multistage and purposive sampling techniques. A total of 253 women of reproductive age from 9 townships of Mzuzu City responded to the questionnaire and 20 health workers were interviewed.Results: Of the 253 women, 57.7% (n =146) demonstrated a good level of knowledge of preconception care while 42.3 % (n =107) had poor knowledge level. About 72% (n =105) of those with good level of knowledge lacked awareness on possibilities of talking to a health care provider on intentions of getting pregnant. About 74.7 % (n =189) of women had a positive perception towards preconception care. Knowledge level of women was a good predictor of positive perception (AOR = 2.5; 95% CI = 1.215 – 5.023), however its prediction capacity varied with the academic level attained. Those with secondary (AOR =10.2; 95% CI = 3.285 - 26.276) and tertiary (AOR=2.3; 95% CI = 1.146 – 4.952) were more likely to have good knowledge than those with primary school level education. About 95% (n =19) of health workers lacked details about preconception care but they admitted their role in preconception care.Conclusion: Preconception care practice among health workers and women of reproductive age in Mzuzu City is low but there is positive perception towards preconception care among both parties. There is an opportunity in existing platforms for implementation of interventions targeting identified predictors for increased knowledge and uptake of preconception care.

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“…Health promotion, self-care may be necessary for promoting PCC (9). Many studies on PCC conducted among women visiting hospitals also reported similarly low levels of knowledge (10)(11)(12)(13)(14)(15)(16). In a study in the United States of America (USA), lack of knowledge was identified as the most crucial barrier to the practice of preconception behavior, the second most crucial barrier was the cost (17).…”

Section: Discussionmentioning

confidence: 99%

“…Women in the USA have low to moderate knowledge of issues related to preconception health (24). The proportion of women knowing PCC varied from 7 to 85% in different countries (11,12,14,15,(25)(26)(27). Usually, most of the women have a positive attitude toward seeking PCC (14,16,22,26).…”

Section: Preconception Services: Knowledge and Utilizationmentioning

confidence: 99%

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Meager Perception of Preconception Care Among Women Desiring Pregnancy in Rural Areas: A Qualitative Study Using Focus Group Discussions

Doke

Gothankar

Pore

et al. 2021

Front. Public Health

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Background: India has the second-highest number of under-five deaths in any country in the world. WHO and the Government of India recommended the rollout of preconception care (PCC) to reduce maternal and child mortality. However, very few countries, including India, have started a comprehensive package of PCC services. It implies that women, mainly from rural and tribal areas, are not aware of PCC. PCC has been rolled out through the government health system in two blocks of Nashik district in Maharashtra state, India, among all women who desire to be pregnant within 1 year. This project is the first of its kind in India. To assess basic perceptions, knowledge, and behavior of women on PCC before the implementation of the project, focus group discussions (FGDs) were carried out. The authors think that the finding may help to develop strategies for behavioral change communication.Methods: From each of the four blocks, two villages having subcenter were selected for conducting FGD. A house-to-house survey was conducted by Accredited Social Health Activist (ASHA) to enlist women who desire a baby in 1 year and invite them to subcenter for FGDs, which were conducted in June 2018.Results: A total of 76 women having a mean age of 23.97 years participated in the FGDs. Most of them (46.05%) had completed 10 years of education. About 50% of pregnancies were planned. The decision about the timing of the first pregnancy is influenced by the mother-in-law. Women knew that they should not conceive before 20 years of age, and their suboptimal weight may have an adverse impact on the health of the newborn. There are many myths about food like “hot and cold foods” and “forbidden food” etc. Women had some knowledge about the adverse effects of tobacco and alcohol; very few consumed these. Most of them did not practice behaviors or accessed services related to PCC.Conclusions: Women neither have the knowledge nor adopt behaviors or accessed services related to PCC. Roll out of PCC among them may help in further reduction of maternal and neonatal morbidity and mortality in India.

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Knowledge and Preconception Care Seeking Practices among Reproductive-age Diabetic Women in Zambia

Cited by 11 publications

References 0 publications

What do women know before getting pregnant? Knowledge of preconception care and associated factors among pregnant women in Mana district, Southwest Ethiopia: a community-based cross-sectional study

What do women know before getting pregnant? Knowledge of preconception care and associated factors among pregnant women in Mana district, Southwest Ethiopia: a community-based cross-sectional study

Knowledge and Perceptions of Preconception Care Among Health Workers and Women of Reproductive Age in Mzuzu City, Malawi. A Cross-sectional Study

Meager Perception of Preconception Care Among Women Desiring Pregnancy in Rural Areas: A Qualitative Study Using Focus Group Discussions

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