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Measuring progress in pregnancy planning and preconception health

Measuring progress in pregnancy planning and preconception health
Measuring progress in pregnancy planning and preconception health
As efforts to support pregnancy planning and improve preconception health are increasing at scale, appropriate systems to monitor progress are required. Despite developments in a few countries, no surveillance systems currently in operation are using a comprehensive set of indicators for monitoring preconception health. This Review describes relevant indicators, reflecting both system-level and individual-level factors, that can be drawn from routine data sources to form the basis for developing new surveillance systems. We present a new framework for national and international surveillance that incorporates, for the first time, community perspectives on the factors that matter most before pregnancy and parenthood. Finally, we describe an international collaboration working towards a core set of indicators that can be compared across low-income, middle-income, and high-income countries, and discuss future directions to enhance and expand international monitoring of pregnancy planning and preconception health.
0140-6736
1471-1482
Schoenaker, Danielle
84b96b87-4070-45a5-9777-5a1e4e45e818
Hall, Jennifer
5840232e-82ab-45d6-af3c-e0b8ffe0bcd6
Verbiest, Sarah
26359c6c-af77-4326-9e5f-a4fa79da2668
Norris, Shane A.
1d346f1b-6d5f-4bca-ac87-7589851b75a4
et al.
International Core Indicators for Preconception Health and Equity (iCIPHE) Alliance
Schoenaker, Danielle
84b96b87-4070-45a5-9777-5a1e4e45e818
Hall, Jennifer
5840232e-82ab-45d6-af3c-e0b8ffe0bcd6
Verbiest, Sarah
26359c6c-af77-4326-9e5f-a4fa79da2668
Norris, Shane A.
1d346f1b-6d5f-4bca-ac87-7589851b75a4

Schoenaker, Danielle, Hall, Jennifer and Verbiest, Sarah , et al. and International Core Indicators for Preconception Health and Equity (iCIPHE) Alliance (2026) Measuring progress in pregnancy planning and preconception health. The Lancet, 407 (10537), 1471-1482. (doi:10.1016/S0140-6736(26)00192-3).

Record type: Article

Abstract

As efforts to support pregnancy planning and improve preconception health are increasing at scale, appropriate systems to monitor progress are required. Despite developments in a few countries, no surveillance systems currently in operation are using a comprehensive set of indicators for monitoring preconception health. This Review describes relevant indicators, reflecting both system-level and individual-level factors, that can be drawn from routine data sources to form the basis for developing new surveillance systems. We present a new framework for national and international surveillance that incorporates, for the first time, community perspectives on the factors that matter most before pregnancy and parenthood. Finally, we describe an international collaboration working towards a core set of indicators that can be compared across low-income, middle-income, and high-income countries, and discuss future directions to enhance and expand international monitoring of pregnancy planning and preconception health.

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1-s2.0-S0140673626001923-main - Accepted Manuscript
Restricted to Repository staff only until 16 September 2026.
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e-pub ahead of print date: 16 March 2026
Published date: 9 April 2026

Identifiers

Local EPrints ID: 510960
URI: http://eprints.soton.ac.uk/id/eprint/510960
ISSN: 0140-6736
PURE UUID: 2b0145d5-3a07-41df-a1cf-629bf5d466df
ORCID for Danielle Schoenaker: ORCID iD orcid.org/0000-0002-7652-990X
ORCID for Shane A. Norris: ORCID iD orcid.org/0000-0001-7124-3788

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Date deposited: 28 Apr 2026 16:31
Last modified: 29 Apr 2026 02:02

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Contributors

Author: Jennifer Hall
Author: Sarah Verbiest
Author: Shane A. Norris ORCID iD
Corporate Author: et al.
Corporate Author: International Core Indicators for Preconception Health and Equity (iCIPHE) Alliance

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