Preconception Care Utilization and Its Associated Factors Among Women in Debre Tabor Town Northwest Ethiopia: Community Based Cross-Sectional Study

Abstract

Although preconception care is a key element of motherhood health care services, the package is ignored in developing countries including Ethiopia and has not been generally adopted and applied since its aim and purposes are not broadly unstated and incorporated. Therefore, the objective of the current study was to determine the level of preconception care use and its determinants among women in Debre Tabor Town Northwest Ethiopia. From November 1 to 30, 2020, a Community-based cross-sectional study was undertaken in Debre Tabor Town. Overall, 79 (15.8%) with 95% CI [12.6, 19] of women had a good level of practice on preconception care utilization. Age (35–49; AOR = 5.12, 95% CI [2.14, 9.98]), ante natal care (AOR = 8.78, 95% CI [2.66, 28.97]), history of adverse birth outcome (AOR = 4.89, 95% CI [3.09, 17.00]), presence of chronic disease (AOR = 7.51, 95% CI [2.33, 12.13]), and knowledge on preconception care (AOR = 3.55, 95% CI [1.57, 8.02]) were significantly associated with utilization of preconception care. Hence, the government and respective stakeholders must give establish on preconception care strategies and plan that covers all aspects of preconception care. Incorporation of the service with other maternal and child health service will be crucial when developing actual employment policies to scale up acceptance of preconception care.

Utilization of preconception care and associated factors among pregnant mothers in Fiche Town, Central Ethiopia: a community-based cross-sectional study 2021

“…This study's findings, however, are higher than those of Adet (9.6%) ( 26 ), Debre Birhan town (13.4%) ( 2 ), West Shoa zone (14.5%) ( 29 ), and Debre Tabor (15.8%) ( 43 ). The reason for this variation may be differences in the study population's level of education, culture, study setting, or year of the study.…”

“…Disparities in information accessibility, socioeconomic status, and the quality of the healthcare delivery system may all contribute to this variation (42). This study's findings, however, are higher than those of Adet (9.6%) (26), Debre Birhan town (13.4%) (2), West Shoa zone (14.5%) (29), and Debre Tabor (15.8%) (43). The reason for this variation may be differences in the study population's level of education, culture, study setting, or year of the study.…”

Association between preconception care and family planning and previous adverse birth outcomes in Ethiopia: systematic review and meta-analysis

“…From an estimated 3911 sample size, a total of 3829 participants were involved in the included studies. All the included studies collected data via face-to-face interview using simple random sampling, 32 systematic random sampling, [33][34][35] multistage random sampling [36][37][38] and convenience sampling 39 methods. In terms of study region, two studies were done in Amhara, two in Southern Nations, Nationalities and Peoples, two in Addis Ababa, one in Oromia and one in the Tigray region.…”

Use of e-modules to increase awareness and utilization of preconception care services in adolescents: a study Implementation of the technology acceptance model theory

“…(20) Low utilization of PHS is associated with the level of awareness and access to information about preconception health. (21)(22)(23) The level of self-awareness is in uenced by the level of knowledge in adolescents. (24) Currently, adolescents' level of knowledge about preconception health is reported to be low varying between 26.8% − 38.4%.…”

“…If they read and perceive the contents of this module, teenagers will know themselves better so that they can avoid pregnancy at a young age..." (OT,1) ...it turns out that there are also many risks of getting pregnant, yes...babies who are stillborn or deformed......that's eee... can still be prevented huh?..." (R7,22) The intention of use of preconception care service The conclusion of the Thema intention of use is obtained from 3 sub-themes, namely preparation for a healthy pregnancy starting from adolescence, embarrassment of visiting health services, and negative stigma. According to informants, adolescents can take advantage of nutritional status screening services, detection and consultation of risks of reproductive health problems, and immunization, as the following informant statements.…”