{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T12:49:25Z","timestamp":1785934165707,"version":"3.56.0"},"reference-count":46,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Reprod. Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Preconception care is an essential reproductive health intervention aimed at reducing preventable maternal and neonatal risks. Despite its significance, utilisation in low- and middle-income settings remains low. This study examined determinants of PCC utilisation among women of reproductive age in Ghana, applying Andersen's Behavioural Model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A descriptive cross-sectional design was used, involving 464 women aged 15\u201349 years in the Koforidua Municipality. Data were collected through structured questionnaires and analysed with descriptive statistics, Chi-square tests, and hierarchical logistic regression using Jamovi version 2.7.23.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The study found a PCC utilisation rate of 69.4%. Younger women were less likely to use PCC, with those aged 21\u201325 years (AOR\u2009=\u20090.03;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.024) to 36\u201340 years (AOR\u2009=\u20090.01;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005) showing lower odds compared with women under 20 years. Ethnicity strongly influenced utilisation, with Akan (AOR\u2009=\u20096.94;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001), Ewe (AOR\u2009=\u20095.65;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.007), and Ga (AOR\u2009=\u20095.10;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.048) women having higher odds. Women with no formal education were less likely to utilise PCC (AOR\u2009=\u20090.09;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.049), while those receiving counselling (AOR\u2009=\u20095.15;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001) or exposed to radio campaigns (AOR\u2009=\u20093.30;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003) had increased odds.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>PCC utilisation in Ghana was moderate and associated with sociodemographic, informational, and health-system factors. Strengthening provider counselling, community-based health education, and consideration of PCC within national reproductive health financing strategies may help improve uptake.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/frph.2026.1874979","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T12:32:00Z","timestamp":1785933120000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Preconception care utilisation among women of reproductive age in Ghana: using Andersen's behavioural model"],"prefix":"10.3389","volume":"8","author":[{"given":"Amidu","family":"Alhassan","sequence":"first","affiliation":[{"name":"Department of Adult Health, School of Nursing and Midwifery, College of Health and Allied Sciences, University of Cape Coast","place":["Cape Coast, Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boahemaa Adu","family":"Otchere","sequence":"additional","affiliation":[{"name":"Department of Adult Health, School of Nursing and Midwifery, College of Health and Allied Sciences, University of Cape Coast","place":["Cape Coast, Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Godswill Sedinam","family":"Lanyo","sequence":"additional","affiliation":[{"name":"Department of Adult Health, School of Nursing and Midwifery, College of Health and Allied Sciences, University of Cape Coast","place":["Cape Coast, Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederick Acheampong","family":"Nimo","sequence":"additional","affiliation":[{"name":"Department of Adult Health, School of Nursing and Midwifery, College of Health and Allied Sciences, University of Cape Coast","place":["Cape Coast, Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mildred Awinpiini","family":"Asore","sequence":"additional","affiliation":[{"name":"Department of Adult Health, School of Nursing and Midwifery, College of Health and Allied Sciences, University of Cape Coast","place":["Cape Coast, Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justice Enock","family":"Kagbo","sequence":"additional","affiliation":[{"name":"Department of Adult Health, School of Nursing and Midwifery, College of Health and Allied Sciences, University of Cape Coast","place":["Cape Coast, Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernard","family":"Nabe","sequence":"additional","affiliation":[{"name":"Department of Adult Health, School of Nursing and Midwifery, College of Health and Allied Sciences, University of Cape Coast","place":["Cape Coast, Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward","family":"Odoom","sequence":"additional","affiliation":[{"name":"Department of Adult Health, School of Nursing and Midwifery, College of Health and Allied Sciences, University of Cape Coast","place":["Cape Coast, Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Akoto-Buabeng","sequence":"additional","affiliation":[{"name":"Department of Education and Psychology, University of Cape Coast","place":["Cape Coast, Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerry John","family":"Ouner","sequence":"additional","affiliation":[{"name":"Department of Family Health Care Nursing, School of Nursing, University of California, San Francisco","place":["San Francisco, CA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustapha","family":"Amoadu","sequence":"additional","affiliation":[{"name":"Biomedical and Clinical Research Centre, College of Health and Allied Sciences, University of Cape Coast","place":["Cape Coast, Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patience Fakornam","family":"Doe","sequence":"additional","affiliation":[{"name":"Department of Public Health, School of Nursing and Midwifery, College of Health and Allied Sciences, University of Cape Coast","place":["Cape Coast, Ghana"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,5]]},"reference":[{"key":"B1","year":""},{"key":"B2","year":""},{"key":"B3","year":""},{"key":"B4","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1007\/s12687-014-0204-2","article-title":"The Dutch national summit on preconception care: a summary of definitions, evidence and recommendations","volume":"6","author":"Temel","year":"2014","journal-title":"J Community Genet"},{"key":"B5","doi-asserted-by":"publisher","first-page":"850","DOI":"10.1002\/ijgo.70260","article-title":"Preconception care utilization and associated factors in 1Ethiopia, 2025: a community-based study","volume":"171","author":"Tiruye","year":"2025","journal-title":"Int J Gynecol Obstet"},{"key":"B6","doi-asserted-by":"publisher","first-page":"649","DOI":"10.1186\/s12884-023-05955-1","article-title":"Utilization of preconception care and associated factors among pregnant women attending ANC in private MCH hospitals in Addis Ababa, Ethiopia","volume":"23","author":"Girma","year":"2023","journal-title":"BMC Pregnancy Childbirth"},{"key":"B7","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1186\/s12884-025-07394-6","article-title":"The magnitude of preconception care utilization and associated factors among women in Ethiopia: systematic review and meta-analysis, 2024","volume":"25","author":"Abneh","year":"2025","journal-title":"BMC Pregnancy Childbirth"},{"key":"B8","doi-asserted-by":"publisher","first-page":"1563","DOI":"10.55248\/gengpi.6.0825.2909","article-title":"Utilization of preconception care at primary healthcare facilities in Kiambu County, Central Kenya","volume":"6","author":"Mlughu","year":"2025","journal-title":"Int J Res Publ Rev"},{"key":"B9","doi-asserted-by":"publisher","first-page":"20503121231153510","DOI":"10.1177\/20503121231153511","article-title":"Preconception care in sub-Saharan Africa: a systematic review and meta-analysis on the prevalence and its correlation with knowledge level among women in the reproductive age group","volume":"11","author":"Woldeyohannes","year":"2023","journal-title":"SAGE Open Med"},{"key":"B10","doi-asserted-by":"publisher","first-page":"164","DOI":"10.1186\/s41043-025-00888-1","article-title":"Preconception health risks among women of reproductive age in Sub-Saharan Africa: a systematic review of implications for preconception care","volume":"44","author":"Gebretsadik","year":"2025","journal-title":"J Health Popul Nutr"},{"key":"B11","year":""},{"key":"B12","doi-asserted-by":"publisher","first-page":"192","DOI":"10.1186\/s13690-024-01364-8","article-title":"Regional disparities and socio-demographic factors associated with eight or more antenatal care visits in Ghana","volume":"82","author":"Aboagye","year":"2024","journal-title":"Arch Public Health"},{"key":"B13","doi-asserted-by":"publisher","first-page":"728","DOI":"10.1186\/s12884-025-07749-z","article-title":"Prevalence and factors associated with unintended pregnancy among women in Ghana","volume":"25","author":"Osborne","year":"2025","journal-title":"BMC Pregnancy Childbirth"},{"key":"B14","doi-asserted-by":"publisher","first-page":"66","DOI":"10.47672\/ajhmn.516","article-title":"Preconception care: awareness, knowledge, attitude and practice of pregnant women, tamale west hospital","volume":"5","author":"Boakye-Yiadom","year":"2020","journal-title":"Am J Health Med Nurs Pract"},{"key":"B15","doi-asserted-by":"publisher","first-page":"126","DOI":"10.60014\/pmjg.v10i2.263","article-title":"Knowledge and utilization of preconception care services among pregnant women attending antenatal care at the korle bu teaching hospital","volume":"10","author":"Beyuo","year":"2021","journal-title":"Postgrad Med J Ghana"},{"key":"B16","doi-asserted-by":"publisher","first-page":"e0003850","DOI":"10.1371\/journal.pgph.0003850","article-title":"An exploratory study on midwives\u2019 perceptions of the availability of preconception care in health facilities in the Kpandai District of Northern Ghana","volume":"5","author":"Bawah","year":"2025","journal-title":"PLOS Glob Public Health"},{"key":"B17","doi-asserted-by":"publisher","first-page":"118","DOI":"10.1186\/s41182-025-00792-8","article-title":"Anaemia prevalence and risk factors among nonpregnant and pregnant women of reproductive age in Ghana: an analysis of the Ghana demographic and health survey data","volume":"53","author":"Agulu","year":"2025","journal-title":"Trop Med Health"},{"key":"B18","year":""},{"key":"B19","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1186\/s12978-017-0384-4","article-title":"Alcohol consumption among pregnant women in James Town Community, Accra, Ghana","volume":"14","author":"Da Pilma Lekettey","year":"2017","journal-title":"Reprod Health"},{"key":"B20","first-page":"152","article-title":"Factors associated with alcohol consumption: a survey of women childbearing at a national referral hospital in Accra, Ghana","volume":"18","author":"Adeyiga","year":"2014","journal-title":"Afr J Reprod Health"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2021.689820","article-title":"Meager perception of preconception care among women desiring pregnancy in rural areas: a qualitative study using focus group discussions","volume":"9","author":"Doke","year":"2021","journal-title":"Front Public Health"},{"key":"B22","doi-asserted-by":"publisher","first-page":"491","DOI":"10.1186\/s12884-021-03940-0","article-title":"Utilization of preconception care and its impacts on health behavior changes among expectant couples in Shanghai, China","volume":"21","author":"Du","year":"2021","journal-title":"BMC Pregnancy Childbirth"},{"key":"B23","article-title":"Preconception care utilization and pregnancy outcomes among postpartum women at Komfo Anokye Teaching Hospital, Ghana","volume":"7","author":"Adjei","year":"2025","journal-title":"Front Reprod Heal [Internet]"},{"key":"B24","doi-asserted-by":"publisher","first-page":"1","DOI":"10.2307\/2137284","article-title":"Revisiting the behavioral model and access to medical care: does it matter?","volume":"36","author":"Andersen","year":"1995","journal-title":"J Health Soc Behav"},{"key":"B25","doi-asserted-by":"publisher","first-page":"e003468","DOI":"10.1136\/bmjph-2025-003468","article-title":"\u201cThe silent struggles\u201d: a qualitative exploration of factors influencing non-implementation of preconception care in Agogo Presbyterian Hospital","volume":"4","author":"Appiah-Ankobeah","year":"2026","journal-title":"BMJ Public Health"},{"key":"B26","year":""},{"key":"B27","doi-asserted-by":"publisher","first-page":"667","DOI":"10.1186\/s12884-023-05940-8","article-title":"Knowledge and practices of preconception care among rural Japanese women: findings from a mixed methods investigation","volume":"23","author":"Shibata","year":"2023","journal-title":"BMC Pregnancy Childbirth"},{"key":"B28","doi-asserted-by":"publisher","first-page":"e0273297","DOI":"10.1371\/journal.pone.0273297","article-title":"Preconception care utilization and associated factors among reproductive age women in Mizan-Aman town, Bench Sheko zone, Southwest Ethiopia, 2020. A content analysis","volume":"17","author":"Setegn Alie","year":"2022","journal-title":"PLoS One"},{"key":"B29","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1186\/s12884-022-04560-y","article-title":"Facilitators and barriers of preconception care in women with inflammatory bowel disease and rheumatic diseases: an explorative survey study in a secondary and tertiary hospital","volume":"22","author":"Admiraal","year":"2022","journal-title":"BMC Pregnancy Childbirth"},{"key":"B30","doi-asserted-by":"publisher","first-page":"1","DOI":"10.15649\/cuidarte.3512","article-title":"Knowledge and practice of preconception care among women in southeastern Mexico","volume":"15","author":"Hern\u00e1ndez-Mart\u00ednez","year":"2024","journal-title":"Rev Cuidarte"},{"key":"B31","doi-asserted-by":"publisher","first-page":"2057","DOI":"10.1186\/s12889-021-12081-0","article-title":"Development of a health literacy scale for preconception care: a study of the reproductive age population in Japan","volume":"21","author":"Suto","year":"2021","journal-title":"BMC Public Health"},{"key":"B32","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1186\/s12884-019-2478-1","article-title":"Mothers\u2019 utilization and associated factors in preconception care in Northern Ethiopia: a community based cross sectional study","volume":"19","author":"Asresu","year":"2019","journal-title":"BMC Pregnancy Childbirth"},{"key":"B33","first-page":"1","article-title":"Awareness, knowledge and uptake of preconception care among women in Ife Central Local Government Area of Osun State, Nigeria","volume":"27","author":"Olowokere","year":"2015","journal-title":"J Community Med Prim Heal Care"},{"key":"B34","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1186\/s12978-019-0758-x","article-title":"Utilization of preconception care and associated factors among reproductive age group women in Debre Birhan town, North Shewa, Ethiopia","volume":"16","author":"Demisse","year":"2019","journal-title":"Reprod Health"},{"key":"B35","doi-asserted-by":"publisher","first-page":"e0261895","DOI":"10.1371\/journal.pone.0261895","article-title":"Utilization of preconception care and associated factors in Hosanna Town, Southern Ethiopia","volume":"17","author":"Wegene","year":"2022","journal-title":"PLoS One"},{"key":"B36","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1007\/s10995-016-2089-7","article-title":"Barriers in the uptake and delivery of preconception care: exploring the views of care providers","volume":"21","author":"M\u2019hamdi","year":"2017","journal-title":"Matern Child Health J"},{"key":"B37","doi-asserted-by":"publisher","first-page":"58","DOI":"10.24248\/eahrj.v8i1.752","article-title":"Self-reported provision of preconception care and associated factors","volume":"8","author":"Morema","year":"2024","journal-title":"East Afr Health Res J"},{"key":"B38","author":"Makori","year":""},{"key":"B39","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1186\/s12978-021-01154-3","article-title":"Determinants of practice of preconception care among women of reproductive age group in southern Ethiopia, 2020: content analysis","volume":"18","author":"Habte","year":"2021","journal-title":"Reprod Health"},{"key":"B40","doi-asserted-by":"publisher","first-page":"1","DOI":"10.52589\/AJHNM-5MRKM80J","article-title":"Preconception care utilization among Childbearing Women in South-East Nigeria","volume":"4","author":"Odira","year":"2021","journal-title":"Afr J Health Nurs Midwifery"},{"key":"B41","doi-asserted-by":"publisher","first-page":"21582440241245220","DOI":"10.1177\/21582440241245221","article-title":"Assessing the provision of preconception care knowledge, attitudes, and practice among Jordanian women of reproductive age","volume":"14","author":"Alkhatib","year":"2024","journal-title":"Sage Open"},{"key":"B42","doi-asserted-by":"publisher","first-page":"188","DOI":"10.1186\/s12978-024-01933-8","article-title":"Cultural and religious structures influencing the use of maternal health services in Nigeria: a focused ethnographic research","volume":"21","author":"Opara","year":"2024","journal-title":"Reprod Health"},{"key":"B43","doi-asserted-by":"publisher","first-page":"555","DOI":"10.1186\/s12884-024-06747-x","article-title":"Facilitating and limiting factors of cultural norms influencing use of maternal health services in primary health care facilities in Kogi State, Nigeria; a focused ethnographic research on igala women","volume":"24","author":"Opara","year":"2024","journal-title":"BMC Pregnancy Childbirth"},{"key":"B44","doi-asserted-by":"publisher","first-page":"2342","DOI":"10.3390\/healthcare13182342","article-title":"Exploring the impact of health literacy on fertility awareness and reproductive health in university students-a systematic review","volume":"13","author":"Pr\u00e9musz","year":"2025","journal-title":"Healthcare (Basel, Switzerland)"},{"key":"B45","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1108\/JSOCM-07-2021-0151","article-title":"A social marketing strategy to promote preconception care: development of the Woke Women strategy","volume":"12","author":"Maas","year":"2022","journal-title":"J Soc Mark"},{"key":"B46","doi-asserted-by":"publisher","first-page":"e76","DOI":"10.1016\/S2468-2667(22)00254-7","article-title":"Addressing reproductive health needs across the life course: an integrated, community-based model combining contraception and preconception care","volume":"8","author":"Hall","year":"2023","journal-title":"Lancet Public Health"}],"container-title":["Frontiers in Reproductive Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/frph.2026.1874979\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T12:32:02Z","timestamp":1785933122000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/frph.2026.1874979\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,5]]},"references-count":46,"alternative-id":["10.3389\/frph.2026.1874979"],"URL":"https:\/\/doi.org\/10.3389\/frph.2026.1874979","relation":{},"ISSN":["2673-3153"],"issn-type":[{"value":"2673-3153","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,5]]},"article-number":"1874979"}}