“PerConcept” study: provider opinions about integrating preconception care into family planning services

Author(s):  
Dumitru Siscanu ◽  
◽  
Corina Iliadi-Tulbure ◽  
Anait Yu. Marianian ◽  
Patricia Chico Aldama ◽  
...  

The importance of preconception care for the mother and child health has long been demonstrated, but the practical realization of this prophylactic activity remains insignificant. Th e article presents the “PerConcept” study results – a survey on “Family Planning” concept perceptions among physicians, whose activity is related to reproductive health. Th e study was conducted based on a unified questionnaire in three cities from three countries: Chisinau (Republic of Moldova), Irkutsk (the Russian Federation) and Ciudad de Mexico (Mexico). Th e survey involved 1.012 family physicians, obstetricians gynecologists, urologists, andrologists, but also doctors of other specialties. A number of 991 questionnaires were validated and analyzed. About 79.5% of all respondents (788) reported that the term of “family” is associated with the birth of children. About 96.0% of respondents (951) believed that pregnancy should be planned by the couple/woman. From a professional perspective, 862 physicians (94.5%), consider that the concept of family planning should also really include a component of preconception care, simultaneous with contraception. Th e majority of participants – 91.1%, (831) had the opinion that strategies and programs in the field of family planning should be revised, in order to include preconception health services. Although the “PerConcept” study had some limitations, the authors consider that the results are interesting because doctors from 3 regions of the world: Europe, Asia, and North America had a similar opinion about the need to expand the family planning concept, which should really include the preconception care, with an equal approach as another component – contraception.

2008 ◽  
Vol 42 (2-3) ◽  
pp. 519-548 ◽  
Author(s):  
PATRICIA JEFFERY ◽  
ROGER JEFFERY ◽  
CRAIG JEFFREY

AbstractIn South Asia, Muslim reformers have often attempted to ‘rationalize’ and gentrify the everyday behaviour of ordinary Muslims. Yet, despite the existence of discussions of contraceptive techniques in the yūnān-ī tibb curricula of 19th century India and the apparent affinity between rationalism and fertility regulation, contraception was rarely discussed in public debates involving Muslim reformers. In this paper we discuss some of the relationships between élite debates among Muslim leaders and the grassroots behaviour of villagers in rural Bijnor, in western Uttar Pradesh. Villagers' voices are ambiguous, with fears for mother and child health surfacing as often as concerns for religious orthodoxy and one's destiny in the afterlife. In addition, many of the villagers' views of Islam were much more restrictive than those of the locally accepted authoritative voices: although the staff at Daru'l ‘Ulūm, Deoband, saw much modern contraception as an unwelcome sign of modernity, their discussions of the acceptability of family planning circled round notions of majbūrī [compulsion], repentance, and the unfathomable mercy of Allah. We conclude that focusing on local notions of Islam to understand the fertility behaviour of rural Muslims is less fruitful than considering a “political economy of hopelessness” that, increasingly since 1947, affects many Muslims in north India.


Author(s):  
Joan Okemo ◽  
Marleen Temmerman ◽  
Mukaindo Mwaniki ◽  
Dorothy Kamya

Preconception care (PCC) aims to improve maternal and fetal health outcomes, however, its utilization remains low in developing countries. This pilot study assesses the level and determinants of PCC in an urban and a rural health facility in Kenya. Unselected pregnant women were recruited consecutively at the Mother and Child Health (MCH) clinics in Aga Khan University Hospital, Nairobi (AKUH, N-urban) and Maragua Level Four Hospital (MLFH-rural). The utilization of PCC was defined as contact with any health care provider before current pregnancy and addressing pregnancy planning and preparation. A cross-sectional approach was employed and data were analyzed using SPSS version 22. 194 participants were recruited (97 in each setting) of whom, 25.8% received PCC. Age, marital status, education, parity and occupation were significant determinants of PCC uptake. There was also a significant difference in PCC uptake between the rural (16.5%) and urban (35.1%) participants (p < 0.01), OR of 0.3 (0.19–0.72, 95% CI). The low level of PCC in Kenya revealed in this study is consistent with the low levels globally. However, this study was not powered to allow firm conclusions and analyze the true effects of PCC determinants. Therefore, further research in the field is recommended in order to inform strategies for increasing PCC utilization and awareness in Kenya.


2004 ◽  
Vol 94 (8) ◽  
pp. 1341-1346 ◽  
Author(s):  
Diana Greene Foster ◽  
Cynthia M. Klaisle ◽  
Maya Blum ◽  
Mary E. Bradsberry ◽  
Claire D. Brindis ◽  
...  

2000 ◽  
Vol 6 (4) ◽  
pp. 614-624
Author(s):  
L. O. Chichakli ◽  
H. K. Atrash ◽  
A. S. Musani ◽  
J. T. Johnson ◽  
R. Mahaini ◽  
...  

This paper presents the findings of a 1999 survey of 19 countries of the World Health Organization Eastern Mediterranean Region on the family planning services and programmes in the Region. Data were collected using a questionnaire which explored the following areas: the presence of population or family planning policies and family planning activities, the family planning services available, promotional and educational activities on family planning, quality assurance, family planning data collection, analysis and dissemination, and the use of such information. The results indicate that 13 of the countries have national policies on population and family planning but even in those that do not, family planning services are widely available. The scope of the services provided varied. There is still a need to implement or strengthen family planning programmes in the Region, a need which is recognized by the countries themselves


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