Understanding Community Perceptions, Preparedness, and Expectations of Preconception Care: A Formative Research Approach

Objective : The study explores community perceptions, preparedness, and expectations regarding preconception care (PCC). It evaluates the acceptance of nurses delivering PCC services, the efficiency of a community-based PCC package, and community readiness for village-level PCC services, aiming to co-develop a tailored PCC package. Methods : This formative research employed a qualitative approach, including focus group discussions (FGDs), in-depth interviews (IDIs), and free listing and ranking exercises. Conducted in 96 villages across four Primary Health Centres in rural Maharashtra, the study involved diverse participants, including eligible couples, village representatives, and community health workers. Data were analyzed using thematic content analysis, employing both deductive and inductive methods to identify themes related to perceptions, contributions, and expectations for PCC. Results : The study revealed gaps in community awareness of PCC, including genetic screening and early detection. Despite this, members emphasized PCC’s benefits, such as improved maternal health and safer deliveries, showing strong support for accessible clinics with local involvement. Unique priorities like health screening, family wellbeing, and lifestyle modifications enriched PCC, reflecting a holistic approach. Conclusion : The findings highlight the community's readiness to adopt PCC services, provided they are affordable, accessible, and tailored to local needs. The study underscores the importance of culturally sensitive approaches and leveraging community networks to promote PCC. Integrating locally prioritized areas into PCC frameworks can enhance maternal and child health outcomes and ensure effective implementation in resource-limited settings.