The effect of a preconception care outreach strategy: the Healthy Pregnancy 4 All study

Autor: Lieke C de Jong-Potjer, Ageeth N. Rosman, Eric A.P. Steegers, Meertien K. Sijpkens, Sabine F. van Voorst, Loes C.M. Bertens, Semiha Denktaş, Arnoud P. Verhoeff
Přispěvatelé: Obstetrics & Gynecology, Clinical Psychology, Erasmus University College, Political Sociology (AISSR, FMG)
Rok vydání: 2019
Předmět:
Child Health Services
Preconception care
Preconception Care
Health informatics
Health administration
0302 clinical medicine
Pregnancy
Surveys and Questionnaires
Preventive Health Services
Health care
Prospective Studies
030212 general & internal medicine
Netherlands
education.field_of_study
lcsh:Public aspects of medicine
030503 health policy & services
Health Policy
Nursing research
Pregnancy Outcome
Primary care
Outreach
Child
Preschool
Female
0305 other medical science
Research Article
Adult
medicine.medical_specialty
Adolescent
Health care utilization
Population
Health Promotion
Young Adult
03 medical and health sciences
General Practitioners
medicine
Humans
Health behavior
education
business.industry
Public health
Infant
Newborn
Infant
lcsh:RA1-1270
Patient Acceptance of Health Care
Pregnancy Complications
Socioeconomic Factors
Implementation
Family medicine
business
Facilities and Services Utilization
Zdroj: BMC Health Services Research
BMC Health Services Research, Vol 19, Iss 1, Pp 1-9 (2019)
Bmc Health Services Research, 19:60. BioMed Central Ltd.
BMC Health Services Research, 19:60. BioMed Central
ISSN: 1472-6963
Popis: Background Preconception care has been acknowledged as an intervention to reduce perinatal mortality and morbidity. However, utilization of preconception care is low because of low awareness of availability and benefits of the service. An outreach strategy was employed to promote uptake of preconception care consultations. Its effect on the uptake of preconception care consultations was evaluated within the Healthy Pregnancy 4 All study. Methods We conducted a community-based intervention study. The outreach strategy for preconception care consultations included four approaches: (1) letters from municipal health services; (2) letters from general practitioners; (3) information leaflets by preventive child healthcare services and (4) encouragement by peer health educators. The target population was set as women aged 18 to 41 years in 14 Dutch municipalities with relatively high perinatal morbidity and mortality rates. We evaluated the effect of the outreach strategy by analyzing uptake of preconception care consultations between February 2013 and December 2014. Registration data of applications for preconception care as well as participant questionnaires were obtained for analysis. Results The outreach strategy led to 587 applications for preconception care consultations. The majority of applications (n = 424; 72%) were prompted by the invitation letters (132,129) from the municipalities and general practitioners. The effect of the municipal letter seemed to fade out after 3 months. Conclusions Outreach strategies amongst the general population promote uptake of preconception care consultations, although on a small scale and with a temporary effect. Electronic supplementary material The online version of this article (10.1186/s12913-019-3882-y) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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