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Exploring Community Readiness for Preconception Care: A Qualitative Assessment of Stakeholder Perspectives
Naveen K1, Swati Misra1,2, Vidhvat Vijay1
1Mahatma Gandhi Institute of Medical Sciences, Wardha, India.
Health Promotion Practice
|August 14, 2026
Summary
Maternal mortality is high, but community readiness for preconception care (PCC) shows moderate awareness. Targeted interventions are needed to improve PCC access and reduce maternal deaths.
Area of Science:
- Public Health
- Maternal Health
- Community Health
Background:
- Maternal mortality remains a critical global health issue, with over 700 daily deaths in 2023.
- Preconception care (PCC) is vital for mitigating preventable risks and improving maternal and child outcomes.
- Assessing community readiness is essential for the successful implementation of PCC interventions.
Purpose of the Study:
- To evaluate community readiness for preconception care (PCC) interventions in rural India.
- To identify barriers and facilitators influencing PCC implementation using the Community Readiness Model.
- To gather diverse stakeholder perspectives on community preparedness for PCC.
Main Methods:
- A qualitative, exploratory study involving 19 in-depth interviews with diverse stakeholders.
- Purposive sampling was used to select participants from selected villages in rural India.
- Community readiness was assessed using a nine-level framework with stage-based scoring and thematic analysis, validated by triangulation.
Main Results:
- The overall community readiness score for PCC was 3.09, indicating a 'vague awareness' stage.
- Stakeholder readiness scores varied significantly, from 2.15 to 3.60, highlighting disparities in preparedness.
- While some stakeholders demonstrated strong preparedness, significant gaps exist in certain community areas.
Conclusions:
- Communities exhibit moderate readiness for preconception care, with varying levels of engagement and resource availability.
- Targeted interventions are necessary to address identified gaps and enhance readiness, particularly in less engaged communities.
- Raising awareness and improving access to quality PCC are crucial for reducing maternal mortality and improving health outcomes.
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