Background:The goal of preconception care is to improve the outcome of a mother’s pregnancy and childbirth. Nevertheless, in most
developing nations; Zambia included, there are still issues with implementation
of preconception care. Therefore, the aim of this study was to establish the
provision of preconception care by midwives, nurses and doctors at Ndola
Teaching Hospital in Zambia. Methods:A concurrent embeddedmixed methodology utilising a descriptive
explorative study design,where 107 respondents were randomly selectedusing
the lottery technique for quantitative part and two focused group discussions
for qualitative part of the studywas used. A self-administered questionnaire was
References
[1]
World Health Organization (2013) Draft Action Plan for the Prevention and Control of Non-Communicable Diseases 2013-2020. WHO Press, Geneva.
[2]
University of Zambia School of Medicine (2020) Bachelor of Medicine and Bachelor of Surgery Curriculum, Lusaka.
[3]
Ojukwu, O., Patel, D., Stephenson, J., Howden, B. and Shawe, J. (2016) General Practitioners’ Knowledge, Attitudes and Views of Providing Preconception Care: A Qualitative Investigation. Upsala Journal of Medical Sciences, 121, 256-263.
https://doi.org/10.1080/03009734.2016.1215853
[4]
Ministry of Youth and Sport, Republic of Zambia (2015) National Youth Policy; Towards a Skilled, Enlightened, Economically Empowered and Patriotic Youth Impacting Positively on National Development, Lusaka.
[5]
Ministry of Health Zambia (2017) Zambia National Health Strategic Plan 2017-2021, Lusaka.
[6]
Sijpkens, M.K., Voorst, S.F.V., Jong-Potjer, L.C., Denktaş, S., Verhoeff, A.P, Bertens, L.C.M., Rosman, A.N.R. and Steegers, E.A.P. (2019) The Effect of a Preconception Care Outreach Strategy: The Healthy Pregnancy 4 All Study. BMC Health Services Research, 19, Article No. 60. https://doi.org/10.1186/s12913-019-3882-y
[7]
Joyce, C., Keraka, M. and Njagi, J. (2018) Assessment of the Knowledge on Pre Conception Care among Women of Reproductive Age in Ruiru Sub-County, Kiambu County, Kenya. Global Journal of Health Science, 3, 82-100.
[8]
Goshu, Y.A., Liyeh, T.M. and Ayele, A.S. (2018) Preconception Care Utilisation and Its Associated Factors among Pregnant Women in Adet, North-Western Ethiopia (Implication of Reproductive Health). Journal of Women’s Health Care, 7, Article ID: 1000445. https://doi.org/10.4172/2167-0420.1000445
[9]
Copperbelt Provincial Health Office (2020) Maternal Perinatal Death Surveillance Report, Ndola.
[10]
Central Statistical Office, Ministry of Health and International Classification of Functioning, Disability and Health (ICF) (2018) Zambia Demographic and Health Survey: Key Indicators. Rockville, Maryland.
[11]
Krejcie, R.V. and Morgan, D.W. (1970) Determining Sample Size for Research Activities, Educational and Psychological Measurement. Sage Journals, 30, 607-610.
https://doi.org/10.1177/001316447003000308
[12]
World Health Organisation (2016) WHO Recommendations on Antenatal Care for a Positive Pregnancy Experience. WHO Press, Geneva.
[13]
Abayneh, H., WakgariI, N., Ganfure, G. and BultoI, G.A. (2022) Knowledge, Attitude, and Practice of Preconception Care and Associated Factors among Obstetric Care Providers Working in Public Health Facilities of West Shoa Zone, Ethiopia: A Cross-Sectional Study. PLOS ONE, 17, e0272316.
https://doi.org/10.1371/journal.pone.0272316
[14]
Kwaleyela, C.N., Greatrex-White, S. and Walsh, D. (2019) Childbirth Experiences of Women Birthing in Zambia: An Interpretive Focus Phenomenological Study. MIDIRS Midwifery Digest, 29, 255-259.
[15]
World Health Organisation (2020) State of the World’s Nursing 2020: Investing in Education, Jobs and Leadership, Technical Document. WHO Press, Geneva.
[16]
Sori, S.A., Teji, R.K, Yadeta, T.A., Jiru, H.D., Metebo, K.N., Weldekidan, H.A. and Regassa, L.D. (2021) Knowledge of Preconception Care and Associated Factors among Maternal Health Care Providers Working in Urban Public Health Institutions of Eastern Ethiopia. Women’s Health, 17.
https://doi.org/10.1177/17455065211046139
[17]
M’Hamdi, H.I., Hilhorst, M.T., Steegers, E.A.P., Voorst, S.F.V. and Pinxten, W. (2016) Barriers in the Uptake and Delivery of Preconception Care: Exploring the Views of Care Providers. Maternal Child Health Journal, 21, 21-28.
https://doi.org/10.1007/s10995-016-2089-7
[18]
Shawe, J., Delbaere, I., Ekstrand, M., Hegaard, H.K., Larsson, M., Mastroiacovo, P., Stern, J., Steegers, E., Stephenson, J. and Tyden, T. (2015) Preconception Care Policy, Guidelines, Recommendations and Services across Six European Countries: Belgium (Flanders), Denmark, Italy, the Netherlands, Sweden and the United Kingdom. The European Journal of Contraceptive and Reproductive Health Care, 20, 77-87. https://doi.org/10.3109/13625187.2014.990088
[19]
Ojifinni, O.O. and Ibisomi, L. (2020) Preconception Care Practices in Nigeria: A Descriptive Qualitative Study. Reproductive Health Journal, 17, Article No. 172.
https://doi.org/10.1186/s12978-020-01030-6
[20]
Marshall, J.E. and Raynor, M.D. (2020) Myles Textbook for Midwives. 17th Edition, Elsevier, Poland.
[21]
Ministry of Health Zambia (2021) Maternal and Perinatal Death Surveillance Response, Lusaka.
[22]
Young, F.M., Oaks, B.M., Tandon, S., Martorell, R., Kathryn, G., Dewey, K.G., Amanda, S. and Wendt, A.S. (2019) Maternal Haemoglobin Concentrations across Pregnancy and Maternal and Child Health: A Systematic Review and Meta-Analysis. Annals of New York Academy of Sciences, 1450, 47-68.
https://doi.org/10.1111/nyas.14093
[23]
Ukoha, W.C., Mtshali, N.G. and Adepeju, L. (2022) Current State of Preconception Care in Sub-Saharan Africa: A Systematic Scoping Review. African Journal of Primary Health Care and Family Medicine, 14, a3096.
https://doi.org/10.4102/phcfm.v14i1.3096
[24]
Goossens, J., Roose, M.D., Goemaes, R., Verhaeghe, S. and Beeckman, D. (2018) Barriers and Facilitators to the Provision of Preconception Care by Healthcare Providers: A Systematic Review. International Journal of Nursing Studies, 87, 113-130.
https://doi.org/10.1016/j.ijnurstu.2018.06.009
[25]
Hamułka, J., Zielińska, M.A. and Chądzyńska, K. (2018) The Combined Effects of Alcohol and Tobacco Use during Pregnancy on Birth Outcomes. Roczniki Panstwowego Zakladu Higieny, 69, 45-54.
[26]
Munthali, M., Chiumia, I.K., Mandiwa, C. and Mwale, S. (2021) Knowledge and Perceptions of Preconception Care among Health Workers and Women of Reproductive Age in Mzuzu City, Malawi: A Cross-Sectional Study. Reproductive Health, 18, Article No. 229. https://doi.org/10.1186/s12978-021-01282-w
[27]
Demisse, T.L., Aliyu, S.A., Kitila, S.B., Tafesse, T.T. Gelaw, K.A. and Zerihun, M.S. (2019) Utilisation of Preconception Care and Associated Factors among Reproductive Age Group Women in DebreBirhan Town, North Shewa, Ethiopia. Reproductive Health, 16, Article No. 96. https://doi.org/10.1186/s12978-019-0758-x
[28]
Zeru, M.A. (2022) Prevalence of Unplanned Pregnancy and Associated Risk Factors among Pregnant Women in Ethiopia. Journal of Biostatistics and Epidemiology, 7, 392-402. https://doi.org/10.18502/jbe.v7i4.10397
[29]
Tembo, T., Chongwe, G., Vwalika, B. and Sitali, L. (2017) Access Signal Functions for Emergency Obstetric Care as an Intervention for Reducing Maternal Mortality: a Survey of Public and Private Health Facilities in Lusaka District, Zambia. BMC Pregnancy and Childbirth, 17, Article No. 28.
https://doi.org/10.1186/s12884-017-1451-0
[30]
Roozbeh, N., Nahidi, F. and Hajian, S. (2016) Barriers to Utilisation of Preconception Care Services—A Qualitative Study. Hormozgan Medical Journal, 20, 185-193.
[31]
Honkavuo, L. (2021) Women’s Experiences of Cultural and Traditional Health Beliefs about Pregnancy and Childbirth in Zambia: An Ethnographic Study. Health Care for Women International, 42, 374-389.
https://doi.org/10.1080/07399332.2021.1898613
[32]
Ojifinni, O.O. and Ibisomi, L. (2022) Health Care Providers’ Perceptions about Preconception Care in Ibadan, Southwest Nigeria: A Qualitative Study. Maternal and Child Health Journal, 26, 587-600. https://doi.org/10.1007/s10995-021-03305-1
[33]
Steel, A., Lucke, J., Reid, R. and Adams, J. (2016) A Systematic Review of Women’s and Health Professional’s Attitudes and Experience of Preconception Care Service Delivery. Family Practice, 33, 588-595. https://doi.org/10.1093/fampra/cmw094
[34]
Ololade, O., Ogun, I.R., Munachimso, D., Oluwatoyin, E. and Olasumbo, K. (2021) Preconception Care: Knowledge, Attitude and Practice among Health Workers in Alimosho Local Government Area, Lagos State, Nigeria. International Journal of Caring Sciences, 14, 515-524.