The Silent Crisis in Maternal Health: Why Preconception Care Deserves Greater Attention - Non-Clinical Interventions and Their Untapped Potential
DOI:
https://doi.org/10.47672/ejhs.2674Keywords:
Preconception Care, Maternal Health, Non-Clinical Interventions, Health Coaching, Policy IntegrationAbstract
Purpose: In spite of the increased international efforts at decreasing maternal and infant mortality rates, preconception care (PCC) is a greatly neglected aspect of maternal health. This paper aims to bring to light the invisible crisis of PCC and understand how non-clinical interventions could play a role in avoiding negative pregnancy outcomes and enhancing long-term health in mothers and children.
Materials and Methods: There was a qualitative study design. The study conducted a systematic review of peer-reviewed journals, WHO reports, and grey literature. Interviews of 10 maternal health practitioners and experts were also analyzed to assess the current barriers and opportunities in PCC implementation.
Findings: The results reveal significant underuse of PCC services in both advanced and emerging economies, primarily attributable to limited awareness, policy deficits, cultural beliefs, and fragmented healthcare systems. Non-clinical interventions like health coaching, community-based education, digital wellness platforms, and psychosocial support networks are recognized as underused assets that can effectively lower these disparities.
Unique Contribution to Theory, Practice and Policy: The research contributes to the Health Belief Model by demonstrating the influence of belief systems on the use of PCC. Practically, it calls for policy structures that incorporate PCC into national health strategies. For policymakers, the research recommends that non-clinical interventions be considered as cost-effective, community-based models for improving maternal health outcomes.
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References
Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Prentice-Hall. https://doi.org/10.1037/11757-000
Dean, S. V., Lassi, Z. S., Imam, A. M., & Bhutta, Z. A. (2013). Preconception care: closing the gap in the continuum of care to accelerate improvements in maternal, newborn and child health. Reproductive Health, 10(1), 1–13. https://doi.org/10.1186/1742-4755-10-1
Jack, B. W., Atrash, H., Coonrod, D. V., Moos, M. K., O’Donnell, J., & Johnson, K. (2008). The clinical content of preconception care: An overview and preparation of this supplement. American Journal of Obstetrics and Gynecology, 199(6), S266-S279. https://doi.org/10.1016/j.ajog.2008.09.002
Marmot, M. (2005). Social determinants of health inequalities. The Lancet, 365(9464), 1099–1104. https://doi.org/10.1016/S0140-6736(05)71146-6
McLeroy, K. R., Bibeau, D., Steckler, A., & Glanz, K. (1988). An ecological perspective on health promotion programs. Health Education Quarterly, 15(4), 351–377. https://doi.org/10.1177/109019818801500401
Remi Dairo, Affective Productivity (July 2023) International Journal of Productivity Science (IJPS) https://wcps.info/wp-content/uploads/2023/07/IJPS-VOLUME-1-ISSUE-2-JULY-2023.pdf
Rosenstock, I. M. (1966). Why people use health services. Milbank Memorial Fund Quarterly, 44(3), 94-127. https://doi.org/10.1111/j.1468-0009.1966.tb00397.x
World Health Organization. (2013). Meeting to develop a global consensus on preconception care to reduce maternal and childhood mortality and morbidity. https://www.who.int/publications/i/item/9789241505000
World Health Organization. (2013). Meeting to develop a global consensus on preconception care to reduce maternal and childhood mortality and morbidity. https://apps.who.int/iris/handle/10665/78067
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Copyright (c) 2025 Ogechik’nma Elizabeth Akinola
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