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Research
Melsew Setegn
Mizan-Tepi University
Corresponding Author
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Background: World health organization recommended the universal package of preconception care. The government of Ethiopia gives the emphasis to maternal and child health but the progress of its improvement is too slow. Most studies in Ethiopia were on maternal health during pregnancy and after deliver but none of the study on women’s intention to use preconception care based on theory of planned behavior, hence this study aimed to determine behavioral intention and its predictors towards preconception care utilization among reproductive age women in Southwest, Ethiopia.
Methods: A community based cross sectional study was conducted among 419 reproductive age women at Mizan-Aman town Southwest Ethiopia. All assumptions of theory of planned behavior (TPB) were considered to measure intention, attitude, perceived social pressure and perceived ability to control circumstances against preconception care utilization. A systematic random sampling was used to select study participants. Data were collected by interviewer administered structured questionnaire through face to face interview. The collected data were entered Epi-data version 3.1 then exported to SPSS version 25 for further analysis. Multiple linear regression analysis was conducted to identify independent predictors of intention to use preconception care. P-value less than 5% was considered to indicate significant association.
Results: A total of 419 women were interviewed with response rate of 98.13%. The mean age of respondents was 34.21 (±6.21) years. Nearly twenty (19.8%) of the respondents were used preconception care previously. The attitude (β =0.320, p=0.0418), subjective norm (β =0.344, p<0.001), perceived behavioral control (β =0.512, p<0.001), indirect subjective norm (β =-0.108, p=0.002) and age of respondents (β =0.046, p=0.020) were the independent predictors of intension to use preconception care.
Conclusion: The utilization of preconception care is low in this study. Overall, the intention to use preconception care is the implication of attitude, perceived social pressure and perceived behavioral control confirming the hypothesis of the study. Age is the only socio-demographic variables associated to intention. Health behavior change interventions should focus on empowering women that could enable them to evaluate their control beliefs and develop ability beside social norms and circumstances that compete with the use of preconception care services.
Keywords
Preconception care, Theory of planned behavior, Mizan-Aman, Ethiopia
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This is a preprint. It has not completed peer review.
Research
Melsew Setegn
Mizan-Tepi University
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
History
CURRENT STATUS: Posted
Version 1
Posted 12 Apr, 2021
No community comments so far
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Sexual & Reproductive Medicine
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: World health organization recommended the universal package of preconception care. The government of Ethiopia gives the emphasis to maternal and child health but the progress of its improvement is too slow. Most studies in Ethiopia were on maternal health during pregnancy and after deliver but none of the study on women’s intention to use preconception care based on theory of planned behavior, hence this study aimed to determine behavioral intention and its predictors towards preconception care utilization among reproductive age women in Southwest, Ethiopia.
Methods: A community based cross sectional study was conducted among 419 reproductive age women at Mizan-Aman town Southwest Ethiopia. All assumptions of theory of planned behavior (TPB) were considered to measure intention, attitude, perceived social pressure and perceived ability to control circumstances against preconception care utilization. A systematic random sampling was used to select study participants. Data were collected by interviewer administered structured questionnaire through face to face interview. The collected data were entered Epi-data version 3.1 then exported to SPSS version 25 for further analysis. Multiple linear regression analysis was conducted to identify independent predictors of intention to use preconception care. P-value less than 5% was considered to indicate significant association.
Results: A total of 419 women were interviewed with response rate of 98.13%. The mean age of respondents was 34.21 (±6.21) years. Nearly twenty (19.8%) of the respondents were used preconception care previously. The attitude (β =0.320, p=0.0418), subjective norm (β =0.344, p<0.001), perceived behavioral control (β =0.512, p<0.001), indirect subjective norm (β =-0.108, p=0.002) and age of respondents (β =0.046, p=0.020) were the independent predictors of intension to use preconception care.
Conclusion: The utilization of preconception care is low in this study. Overall, the intention to use preconception care is the implication of attitude, perceived social pressure and perceived behavioral control confirming the hypothesis of the study. Age is the only socio-demographic variables associated to intention. Health behavior change interventions should focus on empowering women that could enable them to evaluate their control beliefs and develop ability beside social norms and circumstances that compete with the use of preconception care services.
Figure 1
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