An exploratory study on midwives’ perceptions of the availability of preconception care in health facilities in the Kpandai District of Northern Ghana

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BACKGROUND: Preconception care is a critical component of reproductive health that significantly influences the well-being of individuals and couples prior to conception. Midwives play a critical role in addressing potential health problems prior to pregnancy, with the priority of optimizing positive pregnancy outcomes. However, midwives in developing nations, including Ghana, often face significant challenges in delivering preconception care services. AIM: This study explored midwives' perceptions of the availability of preconception care in health facilities in the Kpandai District of Northern Ghana. METHOD: An exploratory qualitative research design was used in conducting the study. Both purposive and random sampling techniques were used in recruiting 15 midwives from 25 health facilities. Data saturation was achieved on the 14th participant; hence, no further interviews were conducted. Interviews were audio-recorded and transcribed verbatim. Thematic content analysis was employed to analyze the data. RESULTS: The participants exhibited adequate knowledge, positive attitudes, and appropriate practices regarding the delivery of preconception care. However, they reported a low level of client uptake of these services. Notably, the majority of participants were unaware of any standardized guidelines or protocols governing preconception care. Despite these challenges, participants generally expressed satisfaction and a strong willingness to provide preconception care services within their respective units. CONCLUSION: The study underscores the necessity for the development and implementation of clear guidelines and standardized protocols to ensure consistent and effective delivery of preconception care. Such measures are essential to guarantee that all individuals of reproductive age, especially those with pre-existing health conditions, receive appropriate preconception care interventions prior to conception.

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