Delivery of Preconception Counselling Services: The Snags of Health Care Service Providers.
DOI:
https://doi.org/10.47672/ajhmn.848Keywords:
Preconception, counselling, maternal health, career risk, impassesAbstract
Purpose: This study investigates the difficulties the health care service providers encounter in the quest of rendering preconception counselling services in Ghana.
Methodology: The study employed descriptive survey design with the use of both qualitative and quantitative research approaches using questionnaire as the main tool. The study employed simple random sampling to sampled 135 out of 675 health care service providers from 23 health facilities in the Bole District of the Savanna Region in Ghana. The quantitative data obtained for the study was analysed using Statistical Package for Social Solution (SPSS) whilst the qualitative data were subjected to descriptive and narrative discussion.
Findings: The study revealed that, health care practitioners need continuous training programme. It also became clear that, there no any clear national guideline or policy on preconception counselling in Ghana. It came to light that, the healthcare service providers face a lot of difficulties to capture women of child bearing age to offer them the services. Inadequate knowledge and expertise to effectively offer the preconception counselling services was also identified as a challenge.
Recommendations: The study therefore recommend that the Ministry of Health and Ghana Health Service should come out with a clear policy guideline on preconception counselling and also provide an intensive training for the health care professionals. The health care providers should also be provided with the needed resources to embark on sensitisation and advocacy campaigns to create the awareness for women of childbearing age to appreciate the need for preconception and genetic carrier risk counselling.
Downloads
References
Andargachew, K.; Sarie, H. & Hirut, G. (2019). Level of Healthcare Providers' Preconception Care (PCC) Practice and Factors Associated with Non-Implementation of PCC in Hawassa, Ethiopia. Ethiop J Health Sci
Anderson, J. E.; Shahul, E.; Louise. F. & "¢Hani, A. (2006). Prevalence of Risk Factors for Adverse Pregnancy Outcomes during Pregnancy and the Preconception Period"”United States, 2002-2004. Matern Child Health Journal
Atrash, H. K., Johnson, K., Adams, M. M., Cordero, J. F., & Howse, J. (2006). Preconception care for improving perinatal outcomes: the time to act. Maternal and child health journal, 10(1), 3-11.
Ballantyne, A., Goold, I., & Pearn, A. (2006). Medical genetic services in developing countries: the ethical, legal and social implications of genetic testing and screening.
Best, J. and Kahn, J. (1998). Research Methods in Education (6thed). New Delhi: Prentice Hall of India
Biratu, A. K. (2017). Addressing the high adverse pregnancy outcomes through the incorporation of preconception care (PCC) in the health system of Ethiopia.
Boakye-Yiadom, A., Sagru-Larr, E., Oduro, E., Asumadu, O.K.D., Saah, J. A. & Asare, R. O. (2020). Preconception Care: Awareness, Knowledge, Attitude and Practice of Pregnant Women, Tamale West Hospital. American Journal of Health, Medicine and Nursing Practice. 5(1) 66 - 83
Borry, P., Henneman, L., Lakeman, P., ten Kate, L. P., Cornel, M. C., & Howard, H. C. (2011). Preconceptional genetic carrier testing and the commercial offer directly-to-consumers. Human Reproduction, 26(5), 972-977.
Buhi, E. R., & Goodson, P. (2007). Predictors of adolescent sexual behavior and intention: A theory-guided systematic review. Journal of adolescent health, 40(1), 4-21.
Coonrod, D. V., Bruce, N. C., Malcolm, T. D., Drachman, D., & Frey, K. A. (2009). Knowledge and attitudes regarding preconception care in a predominantly low-income Mexican-American population. American Journal of Obstetrics and Gynecology, 200(6): 686- e1.
Coffey, K., & Shorten, A. (2014). The challenge of preconception counseling: Using reproductive life planning in primary care. Journal of the American Association of Nurse Practitioners, 26(5), 255-262.
Creswell, J. W., & Creswell, J. D. (2017). Research design: Qualitative, quantitative, and mixed methods approaches: Sage publications.
Czeizel, A. E., & Vereczkey, A. (2012). Arguments for the introduction of preconception service as the new infrastructure of reproductive health. Asian Pacific Journal of Reproduction, 1(2), 142-146.
Dean, S. V., Lassi, Z. S., Imam, A. M., & Bhutta, Z. A. (2014). Preconception care: nutritional risks and interventions. Reproductive health, 11(3), S3.
Dean, S. V., Mason, E. M., Howson, C. P., Lassi, Z. S., Imam, A. M., & Bhutta, Z. A. (2013). Born Too Soon: Care before and between pregnancy to prevent preterm births: from evidence to action. Reproductive health, 10(1), S3.
Dixon, A., Khachatryan, A., Wallace, A., Peckham, S., Boyce, T., & Gillam, S. (2011). Impact of Quality and Outcomes Framework on health inequalities. London: The King's Fund.
Garrard, J. (2013). Health sciences literature review made easy: Jones & Bartlett Publishers.
GSS (2007), GHS, and Macro International," in Proceedings of the GSS GHS, and Macro International, Calverton,Md,USA, 2007
Hussein, N. (2016). Preconception assessment of reproductive genetic risk in primary care. University of Nottingham.
Hussein, N., Weng, S. F., Kai, J., Kleijnen, J., & Qureshi, N. (2018). Preconception risk assessment for thalassaemia, sickle cell disease, cystic fibrosis and Tay"Sachs disease. Cochrane Database of Systematic Reviews(3).
Kassa, A., Human, S. P., & Gemeda, H. (2018). Knowledge of preconception care among healthcare providers working in public health institutions in Hawassa, Ethiopia. PloS one, 13(10), e0204415.
Koblinsky, M. A., Campbell, O. M., & Harlow, S. D. (2018). Mother and more: a broader perspective on women's health The Health Of Women (pp. 33-62): Routledge.
Klein, J., Boyle, J. A., Kirkham, R., Connors, C., Whitbread, C., Oats, J., ..., & Shaw, J. (2017). Preconception care for women with type 2 diabetes mellitus: A mixed-methods study of provider knowledge and practice. Diabetes Research and Clinical Practice, 129: 105-115.
Krishnan, G. G., Joseph, J., & Maheswari, B. (2016). Effect of structured West program on knowledge and attitude regarding preconception care among adolescent girls. IJAR, 2(4): 435- 439.
Kuranchie, A. (2016). Research made easy. Kumasi: Book worm publications.
McClaren, B. J., Delatycki, M. B., Collins, V., Metcalfe, S. A., & Aitken, M. (2008). "˜It is not in my world': an exploration of attitudes and influences associated with cystic fibrosis carrier screening. European Journal of Human Genetics, 16(4), 435.
Mitchell, E. W., Levis, D. M., & Prue, C. E. (2012). Preconception health: awareness, planning, and communication among a sample of US men and women. Maternal and child health journal, 16(1), 31-39.
Moos, M.-K., Dunlop, A. L., Jack, B. W., Nelson, L., Coonrod, D. V., Long, R., . . . Gardiner, P. M. (2008). Healthier women, healthier reproductive outcomes: recommendations for the routine care of all women of reproductive age. American journal of obstetrics and gynecology, 199(6), S280-S289.
Murray, M. (2002). Reducing Waits and Delays in the Referral Process. https://www.aafp.org/fpm/2002/0300/p39.html
Ng, Y. Y., Bloem, A. C., Van Kessel, B., Lokhorst, H., Logtenberg, T., & Staal, F. J. (2002). Selective in vitro expansion and efficient retroviral transduction of human CD34+ CD38-haematopoietic stem cells. British journal of haematology, 117(1), 226-237.
Nwena, O. C. (1992). Introduction of research. Ibadan: Heinmann Educational Books
Nyarko, H. S. (2019). Unintended Pregnancy among Pregnant Women in Ghana: Prevalence and Predictors. Journal of Pregnancy; https://doi.org/10.1155/2019/2920491
W. H.O (2013a). Meeting to develop a global consensus on preconception care to reduce maternal and childhood mortality and morbidity: World Health Organization Headquarters, Geneva, 6-7 February 2012: Meeting report.
W. H.O (2013b). Oral health surveys: basic methods: World Health Organization.
W. H.O (2013c). Preconception care: maximizing the gains for maternal and child health. Geneva: World Health Organization.
W. H.O (2015). Preconception care: Maximising the gains for maternal and child health. 2013. Retrieved: http://www. who. int/maternal_child_adolescent/documents/preconception
Pender, N. J. (2011). Health promotion model manual.
Poppelaars, F. A., Henneman, L., Adèr, H. J., Cornel, M. C., Hermens, R. P., Wal, G. V. D., & Kate, L. P. T. (2004). Preconceptional cystic fibrosis carrier screening: attitudes and intentions of the target population. Genetic Testing, 8(2), 80-89.
Ready, K., Haque, I. S., Srinivasan, B. S., & Marshall, J. R. (2012). Knowledge and attitudes regarding expanded genetic carrier screening among women's healthcare providers. Fertility and sterility, 97(2), 407-413.
Scott, S. A., Edelmann, L., Liu, L., Luo, M., Desnick, R. J., & Kornreich, R. (2010). Experience with carrier screening and prenatal diagnosis for 16 Ashkenazi Jewish genetic diseases. Human mutation, 31(11), 1240-1250.
Stern, J. (2015). Preconception Health and Care. A Window of Opportunity. (Rådgivning inför graviditet. Ett gyllene tillfälle). Digital Comprehensive ummaries of Uppsala Dissertations from the Faculty of Medicine 1160. 71 pp. Uppsala: Acta Universitatis Upsaliensis. ISBN 978-91-554-9402-5.
Shannon, G. D., Alberg, C., Nacul, L., & Pashayan, N. (2014). Preconception healthcare delivery at a population level: construction of public health models of preconception care. Maternal and child health journal, 18(6), 1512-1531.
Temel, S., van Voorst, S. F., de Jong-Potjer, L. C., Waelput, A. J., Cornel, M. C., de Weerd, S. R., . . . Steegers, E. A. (2015). The Dutch national summit on preconception care: a summary of definitions, evidence and recommendations. Journal of community genetics, 6(1), 107-115.
Temel, S., van Voorst, S. F., Jack, B. W., DenktaÅŸ, S., & Steegers, E. A. (2013). Evidence-based preconceptional lifestyle interventions. Epidemiologic reviews, 36(1), 19-30.
van der Zee, B. B. (2013). Preconception care: concepts and perceptions: An ethical perspective.
van Voorst, S., Plasschaert, S., de Jong-Potjer, L., Steegers, E., & DenktaÅŸ, S. (2016). Current practice of preconception care by primary caregivers in the Netherlands. The European Journal of Contraception & Reproductive Health Care, 21(3), 251-258.
Van Der Pal"de Bruin, K. M., Le Cessie, S., Elsinga, J., De Jong"Potjer, L. C., Van Haeringen, A., Knuistingh Neven, A., . . . Assendelft, P. (2008). Pre"conception counselling in primary care: prevalence of risk factors among couples contemplating pregnancy. Paediatric and perinatal epidemiology, 22(3), 280-287.
Williams, L., Zapata, L. B., D'Angelo, D. V., Harrison, L., & Morrow, B. (2012). Associations between preconception counseling and maternal behaviors before and during pregnancy. Maternal and child health journal, 16(9), 1854-1861.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Hikimatu Zakariah, Mustafa Alhasan (PhD), Agoke William
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution (CC-BY) 4.0 License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.