Utilization of preconception care and associated factors in Hosanna Town, Southern Ethiopia

Abstract

Introduction There is substantial body of evidence that portrays gap in the existing maternal and child health continuum of care; one is less attention given to adolescent girls and young women until they get pregnant. Besides, antenatal care is too late to reduce the harmful effects that a woman’s may have on the fetus during the critical period of organogenesis. Fortunately, preconception care can fill these gaps, enhance well-being of women and couples and improve subsequent pregnancy and child health outcomes. Therefore, the main aim of the current study was to assess preconception care utilization and associated factors among pregnant women attending antenatal care clinics of public health facilities in Hosanna town. Methods A facility based cross-sectional study design was carried out from July 30, 2020 to August 30, 2020. Data were collected through face-to-face interview among 400 eligible pregnant women through systematic sampling technique. Epi-data version 3.1 and SPSS version 24 was used for data entry and analysis respectively. Both bivariable and multivariable logistic regression analysis was conducted to identify association between dependent and independent variables. Crude and adjusted odds ratio with respective 95% confidence intervals was computed and statistical significance was declared at p-value <0.05. Result This study revealed that 76 (19%, 95% Cl (15.3, 23.2) study participants had utilized preconception care. History of family planning use before the current pregnancy (AOR = 2.45; 95% Cl (1.270, 4.741), previous history of adverse birth outcomes (AOR = 3.15; 95% Cl (1.650, 6.005), poor knowledge on preconception care (AOR = 0.18; 95% Cl (0.084, 0.379) and receiving counseling on preconception care previously (AOR = 2.82; 95% Cl (1.221, 6.493) were significantly associated with preconception care utilization. Conclusions The present study revealed that nearly one-fifth of pregnant women have utilized preconception care services. History of family planning use before the current pregnancy, previous history of adverse birth outcomes, poor knowledge on preconception care and receiving counseling on preconception care previously were significantly associated with preconception care utilization. Integrating preconception care services with other maternal neonatal child health, improving women’s/couples knowledge & strengthening counseling services is pivotal.

Utilization of Preconception Care and Its Determinants Among Pregnant Women Attending ANC in Private MCH Hospitals in Addis Ababa, Ethiopia: A Cross Sectional Descriptive Study

“…Similarly, pregnant mothers who had an unintended pregnancy were 90% less likely to utilize PCC compared to whose pregnancy were intended and those using family planning before conception were 3.9 times more likely to seek preconception care than mothers who weren't using family planning before conception (AOR = 0.10, 95%CI = 0.03,0.42, P < 0.001).and (AOR = 3.9, 95%CI = 1.20, 12.60, P < 0.023). This nding is consistent with studies done in Hosanna Town (20) which showed that the odds of utilizing preconception care in women who had used family planning before current pregnancy were 2.45 times higher than those women who had not used family planning before current pregnancy (AOR = 2.45; 95% Cl (1.270, 4.741).…”

Preconception care utilization and associated factors among reproductive age women in Mizan-Aman town, Bench Sheko zone, Southwest Ethiopia, 2020. A content analysis

“…Interviewer-administered structured questionnaires were adapted from different literatures of previous studies [2,4,5,7,10,[18][19][20]30,38,39]. Before distributing the questionnaire to data collector, rechecked for missing was done.…”

Identification of Adolescent Behavioral Tendencies After Utilization of Health Promotion Applications About Pre-Pregnancy Care Based on the Health Belief Model Framework

“…The causative factor is the low awareness of the use of pre-pregnancy care (Du et al, 2021). This condition is supported by low knowledge (Wegene et al, 2022), unsupportive attitude (Okemo et al, 2021), high financing so they do not have access to services (Mazza et al, 2013), not having enough time (Habte et al, 2021), and lack of socialization about the use of preconception treatments (Sori et al, 2021). Another cause that is the main reason for the low utilization of pre-pregnancy services is unplanned pregnancies (Du et…”