Evidence map›Paper›PMID 41736810›Full record

ArticleBMJ public health2026

'The silent struggles': a qualitative exploration of factors influencing non-implementation of preconception care in Agogo Presbyterian Hospital.

Vivian Appiah-Ankobeah, Josephine Mpomaa Kyei, Vivian Efua Senoo-Dogbey

Abstract read
In one paragraph

Article in BMJ public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Vivian Appiah-AnkobeahUniversity of Ghana, Accra, Ghana.
Josephine Mpomaa KyeiDepartment of Public Health, University of Ghana, Accra, Ghana.ORCID https://orcid.org/0000-0003-3633-366X
Vivian Efua Senoo-DogbeyPublic Health Nursing, University of Ghana, Accra, Ghana.ORCID https://orcid.org/0000-0003-4360-4747

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Preconception care (PCC) is an important health promotion intervention aimed at optimising the health of women of reproductive age before pregnancy to reduce maternal mortality. However, the quest for its implementation within the healthcare system remains a significant challenge in Ghana. Understanding the views of healthcare professionals and hospital administrative managers is vital for identifying feasible strategies to address challenges. The study sought to explore factors influencing the non-implementation of PCC interventions at Agogo Presbyterian Hospital. Methods: A qualitative exploratory approach was used. 10 healthcare professionals and three hospital administrative managers with experience in providing maternal healthcare services and the ability to provide information on maternal health issues at Agogo Presbyterian Hospital were interviewed. Data analysis was conducted using Braun and Clarke's thematic content analysis approach. Result: The study identified key barriers to PCC implementation within the healthcare system. The participants described knowledge gaps among care providers, excessive workload, role confusion, the unavailability of PCC guidelines and infrastructure, inadequate human and financial resources and a lack of support and motivation of staff as hurdles to PCC implementation in the healthcare system. They suggested the need for capacity building of human resources, specific PCC guidelines, job descriptions and sustainable funding mechanisms to strengthen the healthcare system for effective PCC implementation. Conclusion: The challenges revealed by this study provide policymakers and healthcare institutions with insights to address the implicit barriers in the healthcare system to promote the practice of PCC as part of maternal healthcare services to ensure optimal maternal health before conception and to decrease maternal mortality rates.

Indexed as

FemalePreventive MedicineQualitative Research

Identifiers

PMID41736810
PMCPMC12927341

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.