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Addressing reproductive health needs across the lifecourse: an integrated, community-based model combining contraception and preconception care

Addressing reproductive health needs across the lifecourse: an integrated, community-based model combining contraception and preconception care
Addressing reproductive health needs across the lifecourse: an integrated, community-based model combining contraception and preconception care
Prevention of pregnancy (contraception) and preparation for pregnancy (preconception care) are services that most people need during their reproductive life course. Despite increased attention, and growing recognition that health before pregnancy is crucial to addressing disparities in maternity outcomes, service provision is far from routine. We bring together evidence from the literature, new quantitative and qualitative data on women's preferences, and case studies of existing practice, to develop an integrated, community-based model that synthesises reproductive life planning, contraception, and preconception care. Our model provides a holistic, life course approach, encompassing school-based education, social media, and national campaigns, and highlights the need for training and system-level support for the range of health-care professionals who can deliver it. This high-level model can be adapted across settings, leading to a step change in the provision of preconception care in the community with consequent improvements in health and wellbeing, and reductions in inequalities at population level.
2468-2667
e76-e84
Hall, Jennifer
4dc4ad32-5bda-4672-bfa8-6b258ece6128
Chawla, Mehar
536b9c94-5a1e-4eae-b948-e262c543059d
Watson, Daniella
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Jacob, Chandni Maria
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Schoenaker, Danielle
84b96b87-4070-45a5-9777-5a1e4e45e818
Connolly, Anne
611be52c-eb1e-42b0-8191-b658d36d4880
Barrett, Geraldine
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Stephenson, Judith
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Hall, Jennifer
4dc4ad32-5bda-4672-bfa8-6b258ece6128
Chawla, Mehar
536b9c94-5a1e-4eae-b948-e262c543059d
Watson, Daniella
43f87754-da59-4614-9a4d-3af58e499b6f
Jacob, Chandni Maria
f72c15ac-ef6b-4144-95b3-31194541fe00
Schoenaker, Danielle
84b96b87-4070-45a5-9777-5a1e4e45e818
Connolly, Anne
611be52c-eb1e-42b0-8191-b658d36d4880
Barrett, Geraldine
8d9a3ad9-e3cf-4cd8-9b38-4244d4871e08
Stephenson, Judith
b115169f-d010-4c24-8654-222613c3ed5c

Hall, Jennifer, Chawla, Mehar, Watson, Daniella, Jacob, Chandni Maria, Schoenaker, Danielle, Connolly, Anne, Barrett, Geraldine and Stephenson, Judith (2023) Addressing reproductive health needs across the lifecourse: an integrated, community-based model combining contraception and preconception care. The Lancet Public Health, 8 (1), e76-e84. (doi:10.1016/S2468-2667(22)00254-7).

Record type: Article

Abstract

Prevention of pregnancy (contraception) and preparation for pregnancy (preconception care) are services that most people need during their reproductive life course. Despite increased attention, and growing recognition that health before pregnancy is crucial to addressing disparities in maternity outcomes, service provision is far from routine. We bring together evidence from the literature, new quantitative and qualitative data on women's preferences, and case studies of existing practice, to develop an integrated, community-based model that synthesises reproductive life planning, contraception, and preconception care. Our model provides a holistic, life course approach, encompassing school-based education, social media, and national campaigns, and highlights the need for training and system-level support for the range of health-care professionals who can deliver it. This high-level model can be adapted across settings, leading to a step change in the provision of preconception care in the community with consequent improvements in health and wellbeing, and reductions in inequalities at population level.

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Accepted/In Press date: 14 September 2022
Published date: 3 January 2023
Additional Information: Funding Information: We thank Catherine Stewart, UCL EGA Institute for Women's Health Sexual and Reproductive Health Team Research Assistant, for her support with preparing the manuscript for submission. We also thank the Tommy's Charity for arranging and facilitating the online discussion groups, and all the women who took part in them and the P3 Study. This project was funded by a grant from Public Health England to JH in November, 2020. Funding was used towards salary support for work relating to this manuscript for MC and GB. JH is funded by the National Institute for Health and Care Research (NIHR) for work relating to this research project, Advanced Fellowship (grant number PDF-2017-10-021). The views expressed in this publication are those of the authors and not necessarily those of the NIHR, National Health Service, or the UK Department of Health and Social Care. DS is supported by the NIHR Southampton Biomedical Research Centre (grant number IS-BRC-1215-20004). CMJ is supported by the EU's Horizon 2020 LifeCycle Project (grant number 733206). The funding sources had no role in the study design, collection, analysis, and interpretation of data, writing of the paper, or in the decision to submit for publication. We received ethical approval from the UCL Research Ethics Committee for data collection in the P3 Study (reference 3974.003). Funding Information: We thank Catherine Stewart, UCL EGA Institute for Women's Health Sexual and Reproductive Health Team Research Assistant, for her support with preparing the manuscript for submission. We also thank the Tommy's Charity for arranging and facilitating the online discussion groups, and all the women who took part in them and the P3 Study. This project was funded by a grant from Public Health England to JH in November, 2020. Funding was used towards salary support for work relating to this manuscript for MC and GB. JH is funded by the National Institute for Health and Care Research (NIHR) for work relating to this research project, Advanced Fellowship (grant number PDF-2017-10-021). The views expressed in this publication are those of the authors and not necessarily those of the NIHR, National Health Service, or the UK Department of Health and Social Care. DS is supported by the NIHR Southampton Biomedical Research Centre (grant number IS-BRC-1215-20004). CMJ is supported by the EU's Horizon 2020 LifeCycle Project (grant number 733206). The funding sources had no role in the study design, collection, analysis, and interpretation of data, writing of the paper, or in the decision to submit for publication. We received ethical approval from the UCL Research Ethics Committee for data collection in the P3 Study (reference 3974.003). Publisher Copyright: © 2023 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 license

Identifiers

Local EPrints ID: 473215
URI: http://eprints.soton.ac.uk/id/eprint/473215
ISSN: 2468-2667
PURE UUID: 6384ba84-ddd6-4746-862b-3b776ed441af
ORCID for Chandni Maria Jacob: ORCID iD orcid.org/0000-0002-2024-0074
ORCID for Danielle Schoenaker: ORCID iD orcid.org/0000-0002-7652-990X

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Date deposited: 12 Jan 2023 18:02
Last modified: 17 Mar 2024 04:01

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Contributors

Author: Jennifer Hall
Author: Mehar Chawla
Author: Daniella Watson
Author: Anne Connolly
Author: Geraldine Barrett
Author: Judith Stephenson

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