Social Determinants in Health Promotion Research Center, Hormozgan Health Institute, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Cardiovascular Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
J Obstet Gynaecol. 2022 Jul;42(5):1142-1148. doi: 10.1080/01443615.2021.2024799. Epub 2022 Feb 10.
Pregnancy in women afflicted with sickle cell anaemia has certain adverse effects. The present research aimed to promote the quality of preconception care counselling programs. To do this, Hormozgan Province recruited 25 diseased women and five key informants. To acquire the necessary information, in-depth semi-structured interviews were undertaken. Graneheim's directions for guided content analysis were followed while analysing the data. The results were reported in four categories based on the social marketing constructs. Provision of sickle cell services and preconception care counselling were suggested. The participants preferred to be interviewed in comprehensive healthcare centres in their neighbourhood. The high cost of the lab and medical services was raised as an issue. Face-to-face communication together with other care services was suggested. Providing consultation services in nearby places as in the neighbourhood, including local comprehensive care centres, face-to-face interventions, and mass media, can effectively promote preconception care counselling participation.IMPACT STATEMENT The high rate of maternal mortality in women afflicted with sickle cell disease in the south of Iran has attracted growing attention to preconception care counselling in these women. It seems that the social marketing model, due to its audience-based nature, is effective in the acceptance of participatory behaviour in preconception care counselling. To the best of the present researchers' knowledge, there is no similar research in this respect in Iran. Participants' discourse analysis has led to the recognition of the social marketing constituent elements in participation in Preconception care counselling. In their accounts, the participants drew attention to 'Provision of sickle cell services' and 'Provision of Preconception care counseling for sickle cell disease' in their accounts. The participants also mentioned personal, organisational, and sociocultural barriers to the rate of participation. The optimal place was determined for the consultation, and the means of communication were also decided on for implementing the program. Policy-makers and programmers can use the present findings to guide the design and implementation of interventional programs to promote participation in Preconception care counselling for women who have sickle cell disease.
患有镰状细胞贫血症的女性怀孕会产生某些不良影响。本研究旨在提高孕前保健咨询计划的质量。为此，霍尔木兹甘省招募了 25 名患病妇女和 5 名关键信息提供者。为了获取必要的信息，采用了深入的半结构化访谈。在分析数据时，遵循了 Graneheim 指导的有指导的内容分析方向。结果根据社会营销结构分为四类报告。建议提供镰状细胞服务和孕前保健咨询。参与者更愿意在附近的综合医疗中心接受采访。实验室和医疗服务费用高是一个问题。建议提供面对面交流以及其他护理服务。建议在附近的地方提供咨询服务，如在附近的社区综合保健中心、面对面干预和大众媒体，以有效促进孕前保健咨询的参与。
影响说明：伊朗南部患有镰状细胞病的女性的孕产妇死亡率居高不下，这引起了人们对这些女性的孕前保健咨询的关注。由于社会营销模型具有以受众为基础的性质，因此它在接受参与孕前保健咨询的行为方面似乎是有效的。就目前研究人员的知识而言，伊朗在这方面没有类似的研究。对参与者的话语分析导致了在参与孕前保健咨询中识别社会营销组成部分。在他们的叙述中，参与者在叙述中提到了“提供镰状细胞服务”和“为镰状细胞病提供孕前保健咨询”。参与者还提到了参与率的个人、组织和社会文化障碍。确定了咨询的最佳地点，并决定了实施该计划的沟通方式。决策者和程序员可以利用本研究的结果来指导设计和实施干预计划，以促进患有镰状细胞病的女性参与孕前保健咨询。
