Interdisciplinary School of Health Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, K1N 6N5, Canada.
Interdisciplinary School of Health Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, K1N 6N5, Canada.
Women Birth. 2018 Aug;31(4):e223-e231. doi: 10.1016/j.wombi.2017.10.005. Epub 2017 Nov 4.
Prenatal health promotion provides information regarding pregnancy risks, protective behaviours and clinical and community resources. Typically, women obtain prenatal health information from health care providers, prenatal classes, peers/family, media and increasingly, Internet sites and mobile apps. Barriers to prenatal health promotion and related services include language, rural/remote location, citizenship and disability. Online public health platforms represent the capacity to reach underserved women and can be customised to address the needs of a heterogeneous population of pregnant women.
Canadian government-hosted websites and online prenatal e-classes were evaluated to determine if accessible, inclusive, comprehensive and evidence-based prenatal health promotion was provided.
Using a multijurisdictional approach, federal, provincial/territorial, municipal and public health region-hosted websites, along with affiliated prenatal e-classes, were evaluated based on four criteria: comprehensiveness, evidence-based information, accessibility and inclusivity.
Online prenatal e-classes, federal, provincial/territorial and public health-hosted websites generally provided comprehensive and evidence-based promotion of essential prenatal topics, in contrast to municipal-hosted websites which provided very limited prenatal health information. Gaps in online prenatal health promotion were identified as lack of French and multilingual content, targeted information and representations of Indigenous peoples, immigrants and women with disabilities.
Canadian online prenatal health promotion is broadly comprehensive and evidence-based, but fails to address the needs of non-Anglophones and represent the diverse population of Canadian pregnant women. It is recommended that agencies enhance the organisation of website pregnancy portals/pages and collaborate with other jurisdictions and community groups to ensure linguistically accessible, culturally-competent and inclusive prenatal online resources.
产前健康促进提供了有关妊娠风险、保护行为以及临床和社区资源的信息。通常，女性从医疗保健提供者、产前课程、同伴/家人、媒体以及越来越多的互联网网站和移动应用程序获取产前健康信息。产前健康促进和相关服务的障碍包括语言、农村/偏远地区、公民身份和残疾。在线公共卫生平台代表了为服务不足的妇女提供服务的能力，并且可以针对不同孕妇群体的需求进行定制。
评估加拿大政府主办的网站和在线产前电子课程，以确定是否提供了可访问、包容、全面和基于证据的产前健康促进。
采用多司法管辖区方法，评估了联邦、省/地区、市和公共卫生区主办的网站以及相关的产前电子课程，评估标准基于以下四个标准：全面性、基于证据的信息、可访问性和包容性。
在线产前电子课程、联邦、省/地区和公共卫生主办的网站通常提供全面和基于证据的基本产前主题推广，而市主办的网站仅提供非常有限的产前健康信息。在线产前健康促进存在差距，包括缺乏法语和多种语言内容、针对性信息以及对土著人民、移民和残疾妇女的代表性不足。
加拿大在线产前健康促进总体上是全面和基于证据的，但未能满足非英语人士的需求，也不能代表加拿大孕妇的多样化群体。建议各机构加强网站妊娠门户/页面的组织，并与其他司法管辖区和社区团体合作，确保提供语言可访问、文化上胜任和包容的产前在线资源。
