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Updated: Mar 21, 2026
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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
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Measuring progress in pregnancy planning and preconception health.
Danielle Schoenaker1, Jennifer Hall2, Sarah Verbiest3
1School of Human Development and Health, University of Southampton, Southampton, UK; MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK; NIHR Southampton Biomedical Research Centre, University of Southampton and University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Lancet (London, England)
|March 19, 2026
Summary
Effective preconception health monitoring requires comprehensive surveillance systems. This review proposes a new framework with community input for global indicator comparison.
Area of Science:
- Public Health
- Reproductive Health
- Health Surveillance Systems
Background:
- Increasing global efforts focus on pregnancy planning and improving preconception health.
- Current surveillance systems lack comprehensive indicators for monitoring preconception health.
- Existing systems do not adequately incorporate community perspectives.
Purpose of the Study:
- To identify relevant indicators for monitoring preconception health using routine data sources.
- To propose a new framework for national and international preconception health surveillance.
- To incorporate community perspectives into preconception health surveillance.
Main Methods:
- Systematic review of existing literature and surveillance practices.
- Development of a novel surveillance framework integrating system-level and individual-level factors.
- Consultation with communities to identify key preconception health factors.
Main Results:
- Identified a range of indicators from routine data sources suitable for surveillance.
- Proposed a comprehensive surveillance framework including community-defined priorities.
- Established an international collaboration to develop comparable indicators across income levels.
Conclusions:
- There is a critical need for enhanced surveillance systems for pregnancy planning and preconception health.
- The proposed framework offers a foundation for developing robust, globally comparable monitoring systems.
- Incorporating community perspectives is essential for effective preconception health initiatives.
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