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Development of a preconception care program in suriname

Kamphuis, M.E. (2014) Development of a preconception care program in suriname.

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Abstract:Objectives: The Perisur project aimed to improve birth outcomes in Suriname through preventive interventions, including preconception care (PCC). We used Intervention Mapping (IM) as framework for program development and focused on step 1: the needs assessment. Methods: A web-based survey was used to explore the Surinamese needs. 70 local stakeholders were asked to rank 40 preconception risk factors on a five-point scale from low to high priority. In-depth interviews were conducted for better understanding of the needs. The PRECEDE model served as analytic tool. A survey among pregnant women was held to obtain an end-user perspective on preconception counseling. Results: 29 stakeholders responded to the web-based survey. Risk factors hypertension, diabetes mellitus type II, and teenage pregnancy were ranked with highest priority. Six interviews were conducted. Lack of pregnancy planning was assessed as most alarming risk behavior, causing two preconception problems: unplanned and teenage pregnancy. Proposed program goals were to increase risk awareness and the number of women/couples preparing their pregnancy (e.g. via preconception counseling). 39 pregnant women completed the survey on preconception counseling. The majority (76%) found it important and 46% considered going. Conclusion: This study made a first step in developing a PCC program to improve birth outcomes in Suriname.
Item Type:Essay (Master)
TNO, Leiden, The Netherlands
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:88 social and public administration
Programme:Health Sciences MSc (66851)
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