Perceived strengths, weaknesses, opportunities and threats related to the utilization of oral health services among pre-conceptive married women before their first pregnancy in Kalutara District

Hewage Dona Vindya Gayathri, Nilantha Ratnayake
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Abstract

Introduction: Utilization of oral health services during pre-conce ptive period is important for a woman to accomplish a healthy oral environment prior to her pregnancy. Objectives: To describe the perceived strengths, weaknesses, oppor tunities and threats (SWOT) related to the utilization of oral health services among pre-conceptive married women before the ir first pregnancy in Kalutara District Methods: In-depth interviews among pre-conceptive married wome n before their first pregnancy in Kalutara District were conducted using semi-structured interview guide. Purposive sampli ng method was used to select 18 study participants. Data were analysed manually using the thematic analysis method. The i nductive method was used to identify and generate codes and themes from the data itself. The theoretical perspective of qua litative data analysis carried out in this study was the ‘grounded theory approach’. Results: Identified strength was knowledge on benefits of oral health  for the pregnancy and quality of life of women. Identified weaknesses were lack of motivation regarding oral health care seeki ng, lack of awareness that the pre-conception period is a crucial period for the oral health promotion among married women, f ear for dental treatment, myths related to the oral health and barriers related to attending dental clinics due to personal-level  factors. Identified opportunities were availability of oral health component in the Healthcare for Newly Wedded Programme  (HNWP), provision of the oral health education by the medical officer of health (MOH) office staff at the HNWP session s, help and guidance from the MOH office staff at the HNWP sessions to clarify oral health related issues, satisfactory pro vision of the government dental services, dental clinics in the MOH office premises and favourable working hours of the priva te dental clinics. Identified threats were barriers related to attending dental clinics due to service-related factors and lack of  information regarding the oral health component of the HNWP from peer groups. Conclusions & Recommendations: Perceived SWOT related to t he oral health services among pre-conceptive married women were identified. These findings will be important to the poli cy makers and service providers to plan an effective oral health service for married women before their first pregnancy.
与卡卢塔拉地区首次怀孕前已婚妇女利用口腔保健服务有关的优势、劣势、机会和威胁的看法
简介孕前利用口腔保健服务对于妇女在怀孕前获得健康的口腔环境非常重要。目的描述与卡卢塔拉地区首次怀孕前已婚妇女利用口腔保健服务有关的优势、劣势、机会和威胁(SWOT):采用半结构化访谈指南,对卡卢塔拉地区首次怀孕前已婚妇女进行了深入访谈。采用有目的的抽样方法选取了 18 名研究参与者。采用主题分析法对数据进行人工分析。采用归纳法从数据本身识别并生成代码和主题。本研究采用 "基础理论方法 "对数据进行定性分析。结果:已确定的优势是了解口腔健康对妇女怀孕和生活质量的益处。发现的不足之处是缺乏口腔保健的动力、缺乏对孕前是促进已婚妇女口腔健康的关键时期的认识、牙科治疗的费用、与口腔健康有关的迷信以及由于个人因素导致的去牙科诊所就诊的障碍。已确定的机会包括新婚保健计划(HNWP)中的口腔保健内容、卫生部办公室工作人员在新婚保健计划会议上提供口腔保健教育、卫生部办公室工作人员在新婚保健计划会议上提供帮助和指导以澄清与口腔保健有关的问题、政府牙科服务的满意前景、卫生部办公场所内的牙科诊所以及私人牙科诊所的有利工作时间。已确定的威胁包括因服务相关因素导致的去牙科诊所就诊的障碍,以及缺乏来自同侪群体的有关 HNWP 中口腔健康部分的信息。结论与建议:确定了孕前已婚妇女对口腔保健服务的感知 SWOT。这些发现对于政策制定者和服务提供者为首次怀孕前的已婚妇女规划有效的口腔保健服务非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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