Abstract
Objectives
Preconception care (PCC) is a recognised strategy for optimising maternal health and improving maternal and neonatal outcomes. PCC services are minimally available and not fully integrated into maternal health services in Nigeria. This study explored perceptions about PCC services among health care providers in Ibadan, Nigeria.
Methods
Using a qualitative case study design the perspectives of 26 health care providers—16 specialist physicians and nine nurses covering 10 specialties at the primary, secondary and tertiary health care levels was explored. In-depth interviews were digitally recorded, transcribed verbatim and analysed on MAXQDA using thematic analysis.
Results
Almost all participants stated that PCC services should be offered at all three levels of health care with referral when needed between lower and higher levels. Participants stated that although all people of reproductive age would benefit from PCC, those who had medical problems like hypertension, sickle cell disease, diabetes and infertility would benefit more. Participants opined that delayed health care seeking observed in the community may influence acceptability of PCC especially for people without known pre-existing conditions. All specialist physicians identified the relevance of PCC to their practice. They identified potential benefits of PCC including opportunity to prepare for pregnancy to ensure positive pregnancy outcomes.
Conclusions for Practice
Preconception care is perceived as important for promoting positive pregnancy outcomes in people with known medical problems and is relevant to different specialities of medical practice. Provision of the service will require establishment of guidelines and uptake will depend on acceptability to community members who will benefit from the service.
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Data Availability
The data generated for this study are not publicly available due to the qualitative nature. However, further information about the data can be obtained from the corresponding author upon reasonable request.
Code Availability
Not applicable.
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Study concept and design: Both authors. Acquisition of data: OOO. Analysis and interpretation of data: Both authors. Drafting of the manuscript: OOO. Critical revision of the manuscript for important intellectual content: Both authors. Final approval of the manuscript: Both authors.
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Ethical clearance for the study was obtained from the University of Ibadan/University College Hospital (UI/UCH) Institution Review Board (Clearance number UI/EC/17/0390) from the Wits Human Research Ethics Committee (Medical) (Clearance Number M171054).
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All participants were informed that their participation was voluntarily and that they could withdraw from the study at any time. All participants provided written consent to participate in the study.
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Ojifinni, O.O., Ibisomi, L. Health Care Providers Perceptions About Preconception Care in Ibadan, Southwest Nigeria: A Qualitative Study. Matern Child Health J 26, 587–600 (2022). https://doi.org/10.1007/s10995-021-03305-1
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DOI: https://doi.org/10.1007/s10995-021-03305-1