Open Journal of Obstetrics and Gynecology, 2024, 14, 393-421
https://www.scirp.org/journal/ojog
ISSN Online: 2160-8806
ISSN Print: 2160-8792
DOI: 10.4236/ojog.2024.143036 Mar. 18, 2024 393 Open Journal of Obstetrics and Gynecology
Provision of Preconception Care by Midwives,
Nurses and Doctors at Ndola Teaching
Hospital in Ndola District, Zambia
Gloria Sakanyi
1*
, Febian Chapima
2
, Concepta Namukolo Kwaleyela
3
1
Department of Nursing, Ndola College of Nursing and Midwifery, Ndola, Zambia
2
Department of Basic and Clinical Sciences, School of Nursing Sciences, University of Zambia, Lusaka, Zambia
3
School of Nursing and Midwifery, Mulungushi University, Kabwe, Zambia
Abstract
Background: The goal of preconception care is to improve the outcome of a
mother’s pregnancy and childbirth. Nevertheless, in most developing nations;
Zambia included, there are still issues with implementation of preconception
care. Therefore, the aim of this study was to establish the provision of pre-
conception care by midwives, nurses and doctors at Ndola Teaching Hospital
in Zambia. Methods: A concurrent embedded mixed methodology utilising a
descriptive explorative study design, where 107 respondents were randomly
selected using the lottery technique for quantitative part and two focused group
discussions for qualitative part of the study was used. A self-administered ques-
tionnaire was used to collect quantitative data and a focus group discussion
guide was used for the focus group discussions. Statistical Package of Social
Sciences version 26 with significance set at 0.05 and at 95% confidence level
and thematic analysis were used for data analysis. Results: 75% of the re-
spondents in this study were not providing preconception care and only 25%
of respondents were providing preconception care; however, this was pro-
vided randomly because there were no guidelines to follow. Among the re-
spondents, 81.3% had medium knowledge, 70.1% had good practices and
92.5% had positive attitudes towards preconception care. Further analysis
showed that the association between preconception care and knowledge,
practices and attitudes was not statistically significant (p = values 0.336;
0.344; 1.000 respectively). Multivariate logistic regression revealed that par-
ticipants with high knowledge were five times more likely to provide precon-
ception care (OR = 5.00, CI = 0.42 - 59.7, P = 0.203). Generally, all the par-
ticipants acknowledged that preconception care was an important package
that could prevent maternal and child morbidities and mortalities. Conclu-
sions: The study revealed that most of the respondents were not providing
How to cite this paper: Sakanyi, G.,
Chapima, F. and Kwaleyela, C.N. (2024)
Provision of Preconception Care by Mid-
wives, Nurses and Doctors at Ndola Teach-
ing Hospital in Ndola District, Zambia.
Open Journal of Obstetrics and Gynecolo-
gy, 14, 393-421.
https://doi.org/10.4236/ojog.2024.143036
Received: February 6, 2024
Accepted: March 15, 2024
Published: March 18, 2024
Copyright © 2024 by author(s) and
Scientific Research Publishing Inc.
This work is licensed under the Creative
Commons Attribution International
License (CC BY 4.0).
http://creativecommons.org/licenses/by/4.0/
Open Access