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Setting Preconception Care Priorities in Australia Using a Delphi Technique.

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Public awareness of preconception care (PCC) is low. This study identified key PCC priorities and strategies for improving preconception health in Australia, emphasizing health behaviors, medical history, weight, and reproductive health.

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Area of Science:

  • Public Health
  • Reproductive Health
  • Health Policy

Background:

  • Preconception health significantly impacts fertility, pregnancy outcomes, and long-term health, yet public awareness remains low.
  • Effective preconception care (PCC) is crucial for improving population health trajectories.

Purpose of the Study:

  • To rank priorities for preconception care in Australia.
  • To develop strategies to address identified PCC priorities.
  • To establish guiding values for future preconception healthcare initiatives.

Main Methods:

  • A Delphi technique involving two rounds of online voting and workshops with 23 multidisciplinary experts and a consumer advocate.
  • Utilized inputs from a scoping review of PCC guidelines, a priority-setting framework, and existing health networks.
  • Considered priority populations within the social determinants of health framework.

Main Results:

  • Ten priority areas for PCC were identified, with health behaviors, medical history, weight, and reproductive health ranked highest.
  • Six key strategies were developed to address these priorities.
  • Underpinning values included stakeholder engagement, a life course approach, multi-sectorial integration, and large-scale collaboration.

Conclusions:

  • Health behaviors, medical history, weight, and reproductive health are critical priorities for preconception care.
  • Strategies must be implemented considering values that enhance preconception health across diverse Australian populations.
  • An integrated, collaborative, and life-course approach is essential for impactful preconception healthcare interventions.