Knowledge and perceptions of preconception care among health workers and women of reproductive age in Mzuzu City, Malawi: a cross-sectional study

Reproductive Health

Saul Mwale¹  Isabel Kazanga Chiumia²  Chrispin Mandiwa³  Mtondera Munthali⁴ 

[1] Biological Sciences Department, Mzuzu University, Private Bag 201, Luwinga, Mzuzu 2, Malawi;Department of Health Systems and Policy Department, College of Medicine, University of Malawi, Lilongwe, Malawi;Elizabeth Glaser Pediatric AIDS Foundation, Lilongwe, Malawi;Nurses and Midwives Council of Malawi, Post office Box 30361, Lilongwe, Malawi;

关键词: Preconception;    Women of reproductive age;    Health workers;    Knowledge;    Perception;    Maternal health;   

DOI  :  10.1186/s12978-021-01282-w

来源: Springer

【 摘 要 】

BackgroundPreconception care is one of the preventive strategies in maternal and new-born health as recommended by WHO. However, in sub-Saharan Africa there is poor preconception care practices. This study examined knowledge and perceptions of preconception care among health workers and women of reproductive age group in Mzuzu City, Malawi.MethodsA descriptive cross-sectional study was conducted using a mixed methods approach. Selection of respondents was done through a multistage and purposive sampling techniques respectively. A total of 253 women of reproductive age from nine townships of Mzuzu City responded to the questionnaire and 20 health workers were interviewed.ResultsA total of 136 (54%) respondents had heard of preconception care. About 57.7% (n = 146) demonstrated a good level of knowledge of preconception care while 42.3% (n = 107) had poor knowledge. About 72% (n = 105) of those with good of knowledge of preconception care, lacked awareness on possibilities of talking to a health care provider on intentions of getting pregnant. About 74.7% (n = 189) of women had a positive perception towards preconception care. Knowledge of preconception care was a good predictor of positive perception (AOR = 2.5; 95% CI 1.2–5.0), however its predictability was influenced by the academic level attained. Those with secondary (AOR = 10.2; 95% CI 3.2–26.2) and tertiary (AOR = 2.3; 95% CI 1.1–4.9) were more likely to have good knowledge of preconception care than those with primary school education level. About 95% (n = 19) of health workers lacked details about preconception care but they admitted their role in preconception care.ConclusionPreconception care practice among health workers and women of reproductive age in Mzuzu City was low. However there was positive perception towards preconception care in both parties. There is an opportunity in existing platforms for implementation of interventions targeting identified predictors for increased knowledge and uptake of preconception care.

【 授权许可】

CC BY