Core recommendations of effective preconception counselling services in low-and-middle-income countries - A scoping review.

Autor: Ekawati FM; Department of Family and Community Medicine, Universitas Gadjah Mada, Indonesia. Electronic address: Fitriana.muriya@ugm.ac.id., Widyasari A; Department of Obstetrics and Gynaecology, Universitas Gadjah Mada, Indonesia., Lisa HRA; Family Medicine and Primary Care Residency Program, Universitas Gadjah Mada, Indonesia., Ame CGP; Undergraduate Medicine Study Program, Universitas Gadjah Mada, Indonesia., Tuteja A; Department of General Practice, University of Melbourne, Australia.
Jazyk: angličtina
Zdroj: Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives [Sex Reprod Healthc] 2024 Sep; Vol. 41, pp. 101005. Date of Electronic Publication: 2024 Jul 05.
DOI: 10.1016/j.srhc.2024.101005
Abstrakt: Background: Extensive guidelines and recommendations are available for preconception counselling service in high-income-countries. However limited comprehensive recommendations are available for preconception care and counselling in low-and-middle-income countries (LMICs), where most of maternal mortality occurs in the settings.
Aim/objectives: This review aims to identify any design, model or set of recommendations for their potential adoption to develop preconception care and counselling service for LMICs context.
Methods: A systematic literature search was conducted in five major databases to identify articles covering any designs, models or recommendations on preconception care, for or from LMICs settings published between 2013-2023. Articles on any single screening for preconception counselling, those evaluating the service without specific model or sets of recommendations were excluded. Articles satisfied the inclusion criteria were then appraised and were extracted and analysed using inductive approach of thematic analysis.
Findings: A total of nine articles were eligible for complete review, mostly were review papers, editorials and commission articles with moderate manuscript quality. Three themes of recommendations emerged from the analysis: Platforms, Core Principles, and Women Empowerment. The Platform contains recommendations on the settings, while Core principles provide essential recommendation of screening and management, while the theme Women Empowerment highlights the importance of empowering women to prepare and decide on their pregnancy.
Implications: Actual model of preconception care in LMICs is deficient, results of this review will inform research on the development of appropriate preconception care in LMICs . We also propose for access equity and strategies to promote women empowerment as the key to succeed the preconception care in LMICs.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: