Preconception care practices among primary health care nurses working in public health facilities in KwaZulu-Natal

Background Preconception care (PCC) is necessary to identify and deal with all the risk factors before conception. Some aspects of PCC, like folic acid supplementation, would be relevant to people desiring a pregnancy. Alternatively, PCC could provide contraceptive support to those with no pregnancy...

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Main Authors: Winifred Chinyere Ukoha, Ntombifikile Gloria Mtshali
Format: Article
Language:English
Published: Taylor & Francis Group 2022-12-01
Series:Global Health Action
Subjects:
Online Access:http://dx.doi.org/10.1080/16549716.2022.2112395
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author Winifred Chinyere Ukoha
Ntombifikile Gloria Mtshali
author_facet Winifred Chinyere Ukoha
Ntombifikile Gloria Mtshali
author_sort Winifred Chinyere Ukoha
collection DOAJ
description Background Preconception care (PCC) is necessary to identify and deal with all the risk factors before conception. Some aspects of PCC, like folic acid supplementation, would be relevant to people desiring a pregnancy. Alternatively, PCC could provide contraceptive support to those with no pregnancy intention. In South Africa, primary healthcare nurses provide a comprehensive package of essential services in public health facilities to about 90% of the population at no cost. Therefore, they are the key providers of promotive, preventive, and curative services, including PCC. Objective This study aimed to determine the level of PCC practice among primary healthcare nurses and identify determinants of effective practice. Methods This cross-sectional descriptive survey was conducted among 196 nurses undertaking a specialisation Primary HealthCare program in a selected higher education institution. A pretested questionnaire was used to collect data that were analysed with SPSS version 27 software. Results The overall practice of PCC was 87.8%. Older participants were significantly less likely to exhibit good PCC practice than their younger counterparts. Female participants were also less likely to have good PCC practices than their male counterparts. Married participants were significantly more likely to practice PCC than their unmarried counterparts. Participants practicing in rural areas were also less likely to have good PCC practices than their urban counterparts. Conclusion The PCC practice of most primary healthcare nurses in the study is relatively high. The study also identified the determinants of good PCC practice that can enhance its practice. There is a need to revisit the PCC training of healthcare workers, as most indicated the need for further training.
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spelling doaj.art-3aa63da701f54a5baf87977c1e4cbcac2023-08-03T09:15:31ZengTaylor & Francis GroupGlobal Health Action1654-98802022-12-0115110.1080/16549716.2022.21123952112395Preconception care practices among primary health care nurses working in public health facilities in KwaZulu-NatalWinifred Chinyere Ukoha0Ntombifikile Gloria Mtshali1University of KwaZulu-NatalUniversity of KwaZulu-NatalBackground Preconception care (PCC) is necessary to identify and deal with all the risk factors before conception. Some aspects of PCC, like folic acid supplementation, would be relevant to people desiring a pregnancy. Alternatively, PCC could provide contraceptive support to those with no pregnancy intention. In South Africa, primary healthcare nurses provide a comprehensive package of essential services in public health facilities to about 90% of the population at no cost. Therefore, they are the key providers of promotive, preventive, and curative services, including PCC. Objective This study aimed to determine the level of PCC practice among primary healthcare nurses and identify determinants of effective practice. Methods This cross-sectional descriptive survey was conducted among 196 nurses undertaking a specialisation Primary HealthCare program in a selected higher education institution. A pretested questionnaire was used to collect data that were analysed with SPSS version 27 software. Results The overall practice of PCC was 87.8%. Older participants were significantly less likely to exhibit good PCC practice than their younger counterparts. Female participants were also less likely to have good PCC practices than their male counterparts. Married participants were significantly more likely to practice PCC than their unmarried counterparts. Participants practicing in rural areas were also less likely to have good PCC practices than their urban counterparts. Conclusion The PCC practice of most primary healthcare nurses in the study is relatively high. The study also identified the determinants of good PCC practice that can enhance its practice. There is a need to revisit the PCC training of healthcare workers, as most indicated the need for further training.http://dx.doi.org/10.1080/16549716.2022.2112395healthcare practicepreconception carequantitative studyprimary health carehealth services
spellingShingle Winifred Chinyere Ukoha
Ntombifikile Gloria Mtshali
Preconception care practices among primary health care nurses working in public health facilities in KwaZulu-Natal
Global Health Action
healthcare practice
preconception care
quantitative study
primary health care
health services
title Preconception care practices among primary health care nurses working in public health facilities in KwaZulu-Natal
title_full Preconception care practices among primary health care nurses working in public health facilities in KwaZulu-Natal
title_fullStr Preconception care practices among primary health care nurses working in public health facilities in KwaZulu-Natal
title_full_unstemmed Preconception care practices among primary health care nurses working in public health facilities in KwaZulu-Natal
title_short Preconception care practices among primary health care nurses working in public health facilities in KwaZulu-Natal
title_sort preconception care practices among primary health care nurses working in public health facilities in kwazulu natal
topic healthcare practice
preconception care
quantitative study
primary health care
health services
url http://dx.doi.org/10.1080/16549716.2022.2112395
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