Tackling inequalities in preconception health and care: barriers, facilitators and recommendations for action from the 2023 UK preconception EMCR network conference
Schoenaker D., Hall J., Stewart C., Hanley SJ., Cassinelli EH., Benton M., Wynn-Jones AA., Chawla M., Currie S., Velivasis A., Hough A., Banerjee A., Jenner B., Gardiner CV., Nishshanka C., McQuire C., Geddes-Barton D., Dyer E., Hristova-Atanasova E., Vounzoulaki E., Brough E., Pappa E., Ghalustians F., Webb H., Jones H., Walker J., Nash K., Choudhury K., Goddard L., McGranahan M., Khare M., Memtsa M., Hickman ME., Daly M., Davies N., Vousden N., Manu N., Muller-Kluits N., Cross P., Khosla R., Forde R., Kipping R., Lakhani S., Draper S., Wieles T., Hlungwani T., Jacquemyn Y.
Reducing inequalities in preconception health and care is critical to improving the health and life chances of current and future generations. A hybrid workshop was held at the 2023 UK Preconception Early and Mid-Career Researchers (EMCR) Network conference to co-develop recommendations on ways to address inequalities in preconception health and care. The workshop engaged multi-disciplinary professionals across diverse career stages and people with lived experience (total n = 69). Interactive discussions explored barriers to achieving optimal preconception health, driving influences of inequalities and recommendations. The Socio-Ecological Model framed the identified themes, with recommendations structured at interpersonal (e.g. community engagement), institutional (e.g. integration of preconception care within existing services) and environmental/societal levels (e.g. education in schools). The co-developed recommendations provide a framework for addressing inequalities in preconception health, emphasising the importance of a whole-systems approach. Further research and evidence-based interventions are now needed to advance the advocacy and implementation of our recommendations.