Preconception care: Assessing the level of awareness, knowledge and practice amongst pregnant women in a tertiary facility

Akinajo, Opeyemi; Osanyin, Gbemi Eniola; Okojie, Osemen Ehidiamen

doi:10.4103/jcls.jcls_41_18

Cited by 15 publications

(29 citation statements)

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“…The results of the current study revealed that 73.7% of the respondents had good awareness of common NCDs screening during the preconception period. This finding was comparable with the studies conducted in Nigeria (76.0%) [ 39 ] and Addis Ababa Ethiopia (72.5%) [ 40 ]. This might be due to the similarity of the study population.…”

Section: Discussionsupporting

confidence: 91%

Predictors of Women’s awareness of common non-communicable diseases screening during preconception period in Manna District, Southwest Ethiopia: implication for wellness check-up

Gonfa

Koricha

2021

BMC Health Serv Res

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Background Non-communicable diseases (NCDs) are the dominant cause of global morbidity and mortality, especially in developing countries. Tackling NCDs is central to advancing women’s and child health, and future generations. Many NCDs can be prevented with appropriate approaches across the maternal and child health life-cycle, throughout the years of reproductive age especially before conception and continuing through pregnancy. However, women’s awareness of NCDs screening during the preconception period was not well known in many countries including Ethiopia. Therefore, this study aimed to assess women’s awareness of common NCDs screening during the preconception period and associated factors in Manna District, Jimma Zone, Oromia Region, Ethiopia, 2019. Methods A community-based cross-sectional study was conducted from March 02 to April 10, 2019. The sample size was 636 pregnant women from eight randomly selected rural kebeles and a purposively taken urban kebele. The data were collected using a pre-tested structured questionnaire and entered into Epi data manager version 4.0.2 and exported to SPSS version 21. Descriptive, binary, and multivariable logistic regression analyses were carried out. Results Of the total of 623 respondents, 459 (73.7%) of them had good awareness of common NCDs screening during the preconception period. Women who had formal education [AOR = 1.95, 95% CI: (1.31–2.89)], those who had planned pregnancy [AOR = 2.17, 95% CI: (1.47–3.19)], on ANC follow up [AOR = 1.79, 95% CI: (1.16–2.74], and those who had media (radio and/or television) in their house [AOR = 1.55, 95% CI: (1.05–2.29)] had good awareness on common NCDs screening during the preconception period compared to their counterparts. Conclusions In this study, nearly three-quarters of respondents had a good awareness of common NCDs screening during the preconception period. Women’s educational status, pregnancy planning status, ANC visit, and having radio and/or television in the house were predictors of women’s good awareness of common NCDs screening during the preconception period. Therefore, all concerned bodies are recommended to work toward increasing women’s awareness using different approaches like awareness creation campaigns and counseling clients attending health facilities.

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Section: Discussionsupporting

confidence: 91%

Predictors of Women’s awareness of common non-communicable diseases screening during preconception period in Manna District, Southwest Ethiopia: implication for wellness check-up

Gonfa

Koricha

2021

BMC Health Serv Res

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“…However, some of the participants argued that the challenges being faced with service provision may hamper integration of a new program. In keeping with the opinion that the health system can deploy PCC services, previous studies in Nigeria have shown that PCC services are being provided minimally in the country 13,[17][18][19]29,30 . Further, potential PCC users believe it is important and many are willing to use it if it is available 16,36 .…”

Section: Discussionmentioning

confidence: 96%

“…This study is novel in that it explored the opinion of policy makers and health care workers about the feasibility of structured preconception care (PCC) services in Nigeria which has not been done previously. Previous PCC studies have assessed knowledge, awareness, and utilisation of PCC services among health workers and women of reproductive age in the country 13,[16][17][18][19]30 . The ndings in this study highlight existing opportunities for policy development and implementation, describe issues related to health system readiness for provision of services and identify possible challenges at policy and health system levels.…”

Section: Discussionmentioning

confidence: 99%

“…In Nigeria, as in many low-and middle-income countries (LMICs), PCC is poorly developed and is often provided opportunistically with no guidelines or policies in place to direct the services 13,14 . PCC studies among pregnant women in the country have shown awareness of the service among women of reproductive age ranging from 8.3% in Bayelsa State to 20.6% in Sokoto State, 44.2% in Ebonyi State, 63.5% in Osun State and 76% in Lagos [15][16][17][18][19] . In these studies, the proportion of women who accessed PCC before pregnancy was even lower and the most common PCC provided was folic acid supplementation and dietary modi cation.…”

Section: Introductionmentioning

confidence: 99%

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“Is the Health System Ready?” – a Qualitative Exploration of Stakeholders’ Opinion About the Feasibility of Preconception Care Services in the Nigerian Health System

Ojifinni

Ibisomi

2021

Preprint

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Background Preconception care (PCC) services aim to improve reproductive health outcomes through the provision of biomedical, behavioural and social health interventions to women and couples before conception occurs. Countries that have deployed PCC services have policies that guide the services provided. In Nigeria, PCC is poorly developed and is often provided in an opportunistic manner with no guidelines in place to direct the provision. This study explored the opinions of policymakers and health workers about the feasibility of deploying PCC services in the country. Methods This study was a cross-sectional exploration of opinions about PCC service deployment within the Nigerian health system in which 39 in-depth interviews were conducted with policymakers at the federal and state tiers of government as well as health workers at the tertiary, secondary and primary levels of health care. The transcripts were analysed thematically using a hybrid of deductive and inductive coding on MAXQDA 2018 qualitative data analysis software. Results Four main themes emerged from the data – issues around policy for PCC, service integration and collaboration, health system readiness and challenges to PCC service deployment. While noting that the country has no PCC policy, participants identified existing policies into which PCC can be integrated. The participants also described the importance of policy to PCC provision and provided information on existing collaborations that can help the policy development and implementation process. Although many of the participants believed the health system is prepared for PCC deployment, they identified challenges related to policy formulation and implementation, including financial challenges that could hinder the process. Conclusion Deployment of PCC services in the Nigerian health system is achievable as there are existing health-related policies into which the guidelines can be integrated. However, there is a need to consider the possible implementation challenges and address them as part of the planning process.

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“…Eleven of studies were facility based and nine were community based, with a total population of 9075 participants. From included studies, both the highest and lowest sample size were from studies conducted in Nigeria (20,21). Studies reporting the highest preconception care utilisation and highest good knowledge level about preconception care,72.6% and 70.7%, were conducted in Kenya and Nigeria, respectively (10,13).…”

Section: Description Of Included Studiesmentioning

confidence: 99%

Preconception Care in Sub Saharan Africa: A Systematic Review and Meta-analysis on Prevalence and Its Correlation With Knowledge Level Among Women in Reproductive Age Group

Woldeyohannes

Tekalegn

Sahiledengle

et al. 2021

Preprint

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BackgroundThe aim of the preconception care (PCC) is to promote the health of women in the reproductive age before the conception in order to reduce preventable poor pregnancy outcomes. Although there are several published primary studies from Sub Saharan African (SSA) countries on PCC, they do not quantify the extent of PCC Utilisation, Knowledge level about PCC and the association between them among women in the reproductive age group in this region. This systematic review and meta-analysis aimed to estimate the pooled utilisation of PCC, Pooled knowledge level about PCC and their association among women in the reproductive age group in Sub Saharan Africa.MethodsDatabases including PubMed, Science Direct, Hinari, Google Scholar and Cochrane library were systematically searched for literature. Additionally, the references of appended articles were checked for further possible sources. The Cochrane Q test statistics and I2 tests were used to assess the heterogeneity of the included studies. A random-effect meta-analysis model was used to estimate pooled the prevalence of PCC, knowledge level of PCC and their correlation among reproductive aged women in Sub-Saharan African countries.ResultsOf the identified 1593 articles, 20 studies were included in the final analysis. The pooled utilisation of PCC and good knowledge level towards PCC among women of reproductive age group in Sub Saharan Africa were found to be 24.05% (95% CI: 16.61, 31.49) and 33.27% (95% CI: 24.78, 41.77), respectively. Women in the reproductive age group with good knowledge level were two times more likely to utilize the PCC than the women with poor knowledge level in Sub Saharan Africa (OR: 2.35, 95% CI: 1.16, 4.76). ConclusionIn SSA Countries, the utilisation of PCC and knowledge towards PCC were low. Additionally, the current meta-analysis found good knowledge level to be significantly associated with utilisation of PCC among women in the reproductive age. These findings indicate that, it is imperative to launch programs to uplift knowledge level about PCC utilisation among women in reproductive age group in SSA countries.

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Preconception care: Assessing the level of awareness, knowledge and practice amongst pregnant women in a tertiary facility

Cited by 15 publications

References 1 publication

Predictors of Women’s awareness of common non-communicable diseases screening during preconception period in Manna District, Southwest Ethiopia: implication for wellness check-up

Predictors of Women’s awareness of common non-communicable diseases screening during preconception period in Manna District, Southwest Ethiopia: implication for wellness check-up

“Is the Health System Ready?” – a Qualitative Exploration of Stakeholders’ Opinion About the Feasibility of Preconception Care Services in the Nigerian Health System

Preconception Care in Sub Saharan Africa: A Systematic Review and Meta-analysis on Prevalence and Its Correlation With Knowledge Level Among Women in Reproductive Age Group

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