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

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

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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.

Type: Article
Title: Addressing reproductive health needs across the life course: an integrated, community-based model combining contraception and preconception care
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/S2468-2667(22)00254-7
Publisher version: https://doi.org/10.1016/S2468-2667(22)00254-7
Language: English
Additional information: This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third-party material in this article are included in the Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
Keywords: Pregnancy, Female, Humans, Preconception Care, Reproductive Health, Contraception
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health > Reproductive Health
URI: https://discovery.ucl.ac.uk/id/eprint/10163186
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