Improving preconception health and care: a situation analysis.

Area of Science:

• Public Health
• Reproductive Health
• Healthcare Delivery

Background:

• Preconception care is vital for women of childbearing age.
• Current delivery of preconception care faces challenges.
• Views of healthcare and non-healthcare professionals were explored.

Purpose of the Study:

• To explore professional perspectives on current and future preconception care.
• To identify barriers and facilitators for preconception care delivery.
• To inform strategies for improving preconception health services.

Main Methods:

• Mixed-methods approach including focus groups and surveys.
• Six focus groups conducted with diverse professional groups (GPs, nurses, teachers, youth workers).
• Qualitative data from focus groups and community pharmacist surveys analyzed thematically.

Main Results:

• Low awareness of preconception health and its importance was identified.
• Unplanned pregnancies and professional capacity were significant barriers.
• Multifaceted improvements needed: education, awareness campaigns, professional development, equitable services.

Conclusions:

• Preconception care delivery requires enhancement both before and between pregnancies.
• Improved outcomes for women and infants necessitate action at individual, organizational, and community levels.
• Integrating preconception care into preventative strategies is essential.