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Perceptions of and challenges faced by primary healthcare workers about preconception services in rural India: A qualitative study using focus group discussion

BACKGROUND: Providing preconception care through healthcare workers at the primary health care level is a crucial intervention to reduce adverse pregnancy outcomes, consequently reducing neonatal mortality. Despite the availability of evidence, this window of opportunity remains unaddressed in many...

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Autores principales: Chutke, Amruta Paresh, Doke, Prakash Prabhakarrao, Gothankar, Jayashree Sachin, Pore, Prasad Dnyandeo, Palkar, Sonali Hemant, Patil, Archana Vasantrao, Deshpande, Aniruddha Vinayakrao, Bhuyan, Khanindra Kumar, Karnataki, Madhusudan Vaman, Shrotri, Aparna Nishikant
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9432348/
https://www.ncbi.nlm.nih.gov/pubmed/36062126
http://dx.doi.org/10.3389/fpubh.2022.888708
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author Chutke, Amruta Paresh
Doke, Prakash Prabhakarrao
Gothankar, Jayashree Sachin
Pore, Prasad Dnyandeo
Palkar, Sonali Hemant
Patil, Archana Vasantrao
Deshpande, Aniruddha Vinayakrao
Bhuyan, Khanindra Kumar
Karnataki, Madhusudan Vaman
Shrotri, Aparna Nishikant
author_facet Chutke, Amruta Paresh
Doke, Prakash Prabhakarrao
Gothankar, Jayashree Sachin
Pore, Prasad Dnyandeo
Palkar, Sonali Hemant
Patil, Archana Vasantrao
Deshpande, Aniruddha Vinayakrao
Bhuyan, Khanindra Kumar
Karnataki, Madhusudan Vaman
Shrotri, Aparna Nishikant
author_sort Chutke, Amruta Paresh
collection PubMed
description BACKGROUND: Providing preconception care through healthcare workers at the primary health care level is a crucial intervention to reduce adverse pregnancy outcomes, consequently reducing neonatal mortality. Despite the availability of evidence, this window of opportunity remains unaddressed in many countries, including India. The public health care system is primarily accessed by rural and tribal Indian population. It is essential to know the frontline healthcare workers perception about preconception care. The study aimed to identify barriers and suggestions for framing appropriate strategies for implementing preconception care through primary health centers. METHODS: The authors conducted a qualitative study using focus group discussions (FGDs) with 45 healthcare workers in four FGDs (8–14 participants in each), in four blocks of Nashik district. The transcribed discussions were analyzed in MAXQDA software using the Socio-Ecological Model as an initial coding guide, including four levels of factors (individual, interpersonal, community, and institutional) that influenced an individual's behavior to use preconception care services. RESULTS: Healthcare workers had some knowledge about preconception care, limited to adolescent health and family planning services. The interpersonal factors included heavy workload, stress, lack of support and co-operation, and paucity of appreciation, and motivation. The perceived community factors included poverty, migration, poor knowledge of preconception care, lack of felt need for preconception services, the influence of older women in the household decision, low male involvement, myths and misconceptions regarding preconception services. The identified institutional factors were lack of human resources, specialized services, logistics, and challenges in delivering adolescent health and family planning programs. Healthcare workers suggested the need for program-specific guidelines, training and capacity building of human resources, an un-interrupted supply of logistics, and a unique community awareness drive supporting preconception care services. CONCLUSION: Multi-level factors of the Socio-Ecological Model influencing the preconception care services should be considered for framing strategies in the implementation of comprehensive preconception care as a part of a continuum of care for life cycle phases of women.
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spelling pubmed-94323482022-09-01 Perceptions of and challenges faced by primary healthcare workers about preconception services in rural India: A qualitative study using focus group discussion Chutke, Amruta Paresh Doke, Prakash Prabhakarrao Gothankar, Jayashree Sachin Pore, Prasad Dnyandeo Palkar, Sonali Hemant Patil, Archana Vasantrao Deshpande, Aniruddha Vinayakrao Bhuyan, Khanindra Kumar Karnataki, Madhusudan Vaman Shrotri, Aparna Nishikant Front Public Health Public Health BACKGROUND: Providing preconception care through healthcare workers at the primary health care level is a crucial intervention to reduce adverse pregnancy outcomes, consequently reducing neonatal mortality. Despite the availability of evidence, this window of opportunity remains unaddressed in many countries, including India. The public health care system is primarily accessed by rural and tribal Indian population. It is essential to know the frontline healthcare workers perception about preconception care. The study aimed to identify barriers and suggestions for framing appropriate strategies for implementing preconception care through primary health centers. METHODS: The authors conducted a qualitative study using focus group discussions (FGDs) with 45 healthcare workers in four FGDs (8–14 participants in each), in four blocks of Nashik district. The transcribed discussions were analyzed in MAXQDA software using the Socio-Ecological Model as an initial coding guide, including four levels of factors (individual, interpersonal, community, and institutional) that influenced an individual's behavior to use preconception care services. RESULTS: Healthcare workers had some knowledge about preconception care, limited to adolescent health and family planning services. The interpersonal factors included heavy workload, stress, lack of support and co-operation, and paucity of appreciation, and motivation. The perceived community factors included poverty, migration, poor knowledge of preconception care, lack of felt need for preconception services, the influence of older women in the household decision, low male involvement, myths and misconceptions regarding preconception services. The identified institutional factors were lack of human resources, specialized services, logistics, and challenges in delivering adolescent health and family planning programs. Healthcare workers suggested the need for program-specific guidelines, training and capacity building of human resources, an un-interrupted supply of logistics, and a unique community awareness drive supporting preconception care services. CONCLUSION: Multi-level factors of the Socio-Ecological Model influencing the preconception care services should be considered for framing strategies in the implementation of comprehensive preconception care as a part of a continuum of care for life cycle phases of women. Frontiers Media S.A. 2022-08-17 /pmc/articles/PMC9432348/ /pubmed/36062126 http://dx.doi.org/10.3389/fpubh.2022.888708 Text en Copyright © 2022 Chutke, Doke, Gothankar, Pore, Palkar, Patil, Deshpande, Bhuyan, Karnataki and Shrotri. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Chutke, Amruta Paresh
Doke, Prakash Prabhakarrao
Gothankar, Jayashree Sachin
Pore, Prasad Dnyandeo
Palkar, Sonali Hemant
Patil, Archana Vasantrao
Deshpande, Aniruddha Vinayakrao
Bhuyan, Khanindra Kumar
Karnataki, Madhusudan Vaman
Shrotri, Aparna Nishikant
Perceptions of and challenges faced by primary healthcare workers about preconception services in rural India: A qualitative study using focus group discussion
title Perceptions of and challenges faced by primary healthcare workers about preconception services in rural India: A qualitative study using focus group discussion
title_full Perceptions of and challenges faced by primary healthcare workers about preconception services in rural India: A qualitative study using focus group discussion
title_fullStr Perceptions of and challenges faced by primary healthcare workers about preconception services in rural India: A qualitative study using focus group discussion
title_full_unstemmed Perceptions of and challenges faced by primary healthcare workers about preconception services in rural India: A qualitative study using focus group discussion
title_short Perceptions of and challenges faced by primary healthcare workers about preconception services in rural India: A qualitative study using focus group discussion
title_sort perceptions of and challenges faced by primary healthcare workers about preconception services in rural india: a qualitative study using focus group discussion
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9432348/
https://www.ncbi.nlm.nih.gov/pubmed/36062126
http://dx.doi.org/10.3389/fpubh.2022.888708
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