{"id":"https://openalex.org/W7225417830","doi":"https://doi.org/10.1186/s12884-026-10200-6","title":"Knowledge, uptake, and factors associated with preconception care services among reproductive-age women in Tarkwa-Nsuaem Municipality, Ghana: a community-based cross-sectional study","display_name":"Knowledge, uptake, and factors associated with preconception care services among reproductive-age women in Tarkwa-Nsuaem Municipality, Ghana: a community-based cross-sectional study","publication_year":2026,"publication_date":"2026-11-06","ids":{"openalex":"https://openalex.org/W7225417830","doi":"https://doi.org/10.1186/s12884-026-10200-6"},"language":"en","primary_location":{"id":"doi:10.1186/s12884-026-10200-6","doi":"https://doi.org/10.1186/s12884-026-10200-6","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12884-026-10200-6","pdf_url":null,"source":{"id":"https://openalex.org/S123732490","display_name":"BMC Pregnancy and Childbirth","issn_l":"1471-2393","issn":["1471-2393"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Pregnancy and Childbirth","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s12884-026-10200-6","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5161089578","display_name":"Frank Baidoe-Ansah","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2803053305","display_name":"Korle Bu Teaching Hospital","ror":"https://ror.org/01vzp6a32","country_code":"GH","type":"healthcare","lineage":["https://openalex.org/I2803053305"]}],"countries":["GH"],"is_corresponding":false,"raw_author_name":"Frank Baidoe-Ansah","raw_affiliation_strings":["Department of Obstetrics and Gynaecology, Korle Bu Teaching Hospital, Accra, Ghana"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynaecology, Korle Bu Teaching Hospital, Accra, Ghana","institution_ids":["https://openalex.org/I2803053305"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047126403","display_name":"Michael Yaw Amoh","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I254651091","display_name":"University of Health and Allied Sciences","ror":"https://ror.org/054tfvs49","country_code":"GH","type":"education","lineage":["https://openalex.org/I254651091"]}],"countries":["GH"],"is_corresponding":false,"raw_author_name":"Michael Yaw Amoh","raw_affiliation_strings":["Department of Obstetrics and Gynaecology, School of Medicine, University of Health and Allied Sciences, Ho, Ghana"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynaecology, School of Medicine, University of Health and Allied Sciences, Ho, Ghana","institution_ids":["https://openalex.org/I254651091"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5051869885","display_name":"Adu Appiah\u2010Kubi","orcid":"https://orcid.org/0000-0002-7730-8252","observed_orcids":["https://orcid.org/0000-0002-7730-8252"]},"institutions":[{"id":"https://openalex.org/I254651091","display_name":"University of Health and Allied Sciences","ror":"https://ror.org/054tfvs49","country_code":"GH","type":"education","lineage":["https://openalex.org/I254651091"]}],"countries":["GH"],"is_corresponding":false,"raw_author_name":"Adu Appiah-Kubi","raw_affiliation_strings":["Department of Obstetrics and Gynaecology, School of Medicine, University of Health and Allied Sciences, Ho, Ghana"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynaecology, School of Medicine, University of Health and Allied Sciences, Ho, Ghana","institution_ids":["https://openalex.org/I254651091"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111065896","display_name":"Wisdom Klutse Azanu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I254651091","display_name":"University of Health and Allied Sciences","ror":"https://ror.org/054tfvs49","country_code":"GH","type":"education","lineage":["https://openalex.org/I254651091"]}],"countries":["GH"],"is_corresponding":false,"raw_author_name":"Wisdom Klutse Azanu","raw_affiliation_strings":["Department of Obstetrics and Gynaecology, School of Medicine, University of Health and Allied Sciences, Ho, Ghana"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynaecology, School of Medicine, University of Health and Allied Sciences, Ho, Ghana","institution_ids":["https://openalex.org/I254651091"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091779268","display_name":"Anthony Kwame Dah","orcid":"https://orcid.org/0000-0001-5651-7322","observed_orcids":["https://orcid.org/0000-0001-5651-7322"]},"institutions":[{"id":"https://openalex.org/I254651091","display_name":"University of Health and Allied Sciences","ror":"https://ror.org/054tfvs49","country_code":"GH","type":"education","lineage":["https://openalex.org/I254651091"]}],"countries":["GH"],"is_corresponding":false,"raw_author_name":"Anthony Kwame Dah","raw_affiliation_strings":["Department of Obstetrics and Gynaecology, School of Medicine, University of Health and Allied Sciences, Ho, Ghana"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynaecology, School of Medicine, University of Health and Allied Sciences, Ho, Ghana","institution_ids":["https://openalex.org/I254651091"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161070807","display_name":"Emmanuel Senanu K Morhe","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I254651091","display_name":"University of Health and Allied Sciences","ror":"https://ror.org/054tfvs49","country_code":"GH","type":"education","lineage":["https://openalex.org/I254651091"]}],"countries":["GH"],"is_corresponding":false,"raw_author_name":"Emmanuel Senanu K Morhe","raw_affiliation_strings":["Department of Obstetrics and Gynaecology, School of Medicine, University of Health and Allied Sciences, Ho, Ghana"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynaecology, School of Medicine, University of Health and Allied Sciences, Ho, Ghana","institution_ids":["https://openalex.org/I254651091"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023354580","display_name":"Joseph Osarfo","orcid":"https://orcid.org/0000-0002-5366-3997","observed_orcids":["https://orcid.org/0000-0002-5366-3997"]},"institutions":[{"id":"https://openalex.org/I254651091","display_name":"University of Health and Allied Sciences","ror":"https://ror.org/054tfvs49","country_code":"GH","type":"education","lineage":["https://openalex.org/I254651091"]}],"countries":["GH"],"is_corresponding":false,"raw_author_name":"Joseph Osarfo","raw_affiliation_strings":["Department of Community Medicine, School of Medicine, University of Health and Allied Sciences, Ho, Ghana"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Community Medicine, School of Medicine, University of Health and Allied Sciences, Ho, Ghana","institution_ids":["https://openalex.org/I254651091"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161000099","display_name":"Bernice Boadu-Gyamfi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I254651091","display_name":"University of Health and Allied Sciences","ror":"https://ror.org/054tfvs49","country_code":"GH","type":"education","lineage":["https://openalex.org/I254651091"]}],"countries":["GH"],"is_corresponding":false,"raw_author_name":"Bernice Boadu-Gyamfi","raw_affiliation_strings":["Department of Basic Medical Sciences, School of Medicine, University of Health and Allied Sciences, Ho, Ghana"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Basic Medical Sciences, School of Medicine, University of Health and Allied Sciences, Ho, Ghana","institution_ids":["https://openalex.org/I254651091"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5064060946","display_name":"Raymond Saa-Eru Maalman","orcid":"https://orcid.org/0000-0002-6939-8198","observed_orcids":["https://orcid.org/0000-0002-6939-8198"]},"institutions":[{"id":"https://openalex.org/I254651091","display_name":"University of Health and Allied Sciences","ror":"https://ror.org/054tfvs49","country_code":"GH","type":"education","lineage":["https://openalex.org/I254651091"]}],"countries":["GH"],"is_corresponding":true,"raw_author_name":"Raymond Saa-Eru Maalman","raw_affiliation_strings":["Department of Basic Medical Sciences, School of Medicine, University of Health and Allied Sciences, Ho, Ghana"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Basic Medical Sciences, School of Medicine, University of Health and Allied Sciences, Ho, Ghana","institution_ids":["https://openalex.org/I254651091"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5064060946"],"corresponding_institution_ids":["https://openalex.org/I254651091"],"apc_list":{"value":3290,"currency":"USD","value_usd":3290},"apc_paid":{"value":3290,"currency":"USD","value_usd":3290},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.7592999935150146,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.7592999935150146,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10600","display_name":"Reproductive Health and Contraception","score":0.13809999823570251,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12741","display_name":"Maternal and Neonatal Healthcare","score":0.07169999927282333,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/preconception-care","display_name":"preconception care","score":0.9919999837875366},{"id":"https://openalex.org/keywords/women-of-reproductive-age","display_name":"women of reproductive age","score":0.8429999947547913},{"id":"https://openalex.org/keywords/folic-acid-supplementation","display_name":"folic acid supplementation","score":0.9279999732971191},{"id":"https://openalex.org/keywords/family-planning","display_name":"family planning","score":0.9700000286102295},{"id":"https://openalex.org/keywords/genetic-screening","display_name":"genetic screening","score":0.9350000023841858},{"id":"https://openalex.org/keywords/maternal-and-neonatal-outcomes","display_name":"maternal and neonatal outcomes","score":0.6380000114440918},{"id":"https://openalex.org/keywords/ghana","display_name":"Ghana","score":0.6919999718666077},{"id":"https://openalex.org/keywords/maternal-health-care-access","display_name":"access to maternal health services","score":0.5540000200271606}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8907999992370605},{"id":"https://openalex.org/C2776210078","wikidata":"https://www.wikidata.org/wiki/Q351870","display_name":"Reproductive medicine","level":3,"score":0.6445000171661377},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.6029999852180481},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5913000106811523},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.5428000092506409},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.5080999732017517},{"id":"https://openalex.org/C2781354955","wikidata":"https://www.wikidata.org/wiki/Q11920938","display_name":"Marital status","level":3,"score":0.5077999830245972},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.4887000024318695},{"id":"https://openalex.org/C2776035688","wikidata":"https://www.wikidata.org/wiki/Q1606558","display_name":"Affect (linguistics)","level":2,"score":0.46470001339912415},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.39989998936653137},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.3950999975204468},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.3783999979496002},{"id":"https://openalex.org/C38180746","wikidata":"https://www.wikidata.org/wiki/Q1952580","display_name":"Multivariate analysis","level":2,"score":0.36340001225471497},{"id":"https://openalex.org/C2910910449","wikidata":"https://www.wikidata.org/wiki/Q749115","display_name":"Postnatal Care","level":3,"score":0.35440000891685486},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.34450000524520874},{"id":"https://openalex.org/C2775887326","wikidata":"https://www.wikidata.org/wiki/Q3308829","display_name":"Prenatal care","level":3,"score":0.335099995136261},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3337000012397766},{"id":"https://openalex.org/C2779076696","wikidata":"https://www.wikidata.org/wiki/Q1280670","display_name":"Family planning","level":4,"score":0.32989999651908875},{"id":"https://openalex.org/C147077947","wikidata":"https://www.wikidata.org/wiki/Q1515895","display_name":"Socioeconomic status","level":3,"score":0.32330000400543213},{"id":"https://openalex.org/C139134214","wikidata":"https://www.wikidata.org/wiki/Q3652044","display_name":"Multistage sampling","level":2,"score":0.32199999690055847},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.3107999861240387},{"id":"https://openalex.org/C121752807","wikidata":"https://www.wikidata.org/wiki/Q1981388","display_name":"Reproductive health","level":3,"score":0.30570000410079956},{"id":"https://openalex.org/C83864248","wikidata":"https://www.wikidata.org/wiki/Q177323","display_name":"Developing country","level":2,"score":0.2985999882221222},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.29030001163482666},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.27160000801086426},{"id":"https://openalex.org/C64341305","wikidata":"https://www.wikidata.org/wiki/Q4919225","display_name":"Bivariate analysis","level":2,"score":0.2709999978542328},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.2667999863624573},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.2637999951839447},{"id":"https://openalex.org/C122637931","wikidata":"https://www.wikidata.org/wiki/Q118084","display_name":"Unit (ring theory)","level":2,"score":0.2572999894618988}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1186/s12884-026-10200-6","doi":"https://doi.org/10.1186/s12884-026-10200-6","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12884-026-10200-6","pdf_url":null,"source":{"id":"https://openalex.org/S123732490","display_name":"BMC Pregnancy and Childbirth","issn_l":"1471-2393","issn":["1471-2393"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Pregnancy and Childbirth","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1186/s12884-026-10200-6","doi":"https://doi.org/10.1186/s12884-026-10200-6","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12884-026-10200-6","pdf_url":null,"source":{"id":"https://openalex.org/S123732490","display_name":"BMC Pregnancy and Childbirth","issn_l":"1471-2393","issn":["1471-2393"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Pregnancy and Childbirth","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W3007800395","https://openalex.org/W4384151802","https://openalex.org/W7167924180","https://openalex.org/W2512925422","https://openalex.org/W3165390512","https://openalex.org/W2794350519","https://openalex.org/W4414434790","https://openalex.org/W4300686704","https://openalex.org/W3126174598","https://openalex.org/W4416157348"],"abstract_inverted_index":{"Preconception":[0],"services":[1,66,196,215,247,273],"are":[2,43,320],"interventions":[3],"for":[4,41,116],"women":[5,69,81,202,211,233,279],"before":[6],"pregnancy":[7],"to":[8,46,95,104,135,303,322],"improve":[9,304],"maternal":[10],"and":[11,35,60,110,128,172,268,310,317],"neonatal":[12],"outcomes.":[13],"Unfortunately,":[14],"the":[15,36,48,57,87,97,117,151,156,181,241,292,297,308],"uptake":[16,49,229,269],"of":[17,38,50,79,82,159,174,186,190,193,201,206,243,264,270,299,307,312],"this":[18,300],"service":[19],"is":[20],"poor,":[21],"particularly":[22],"in":[23,70,280],"developing":[24],"countries":[25],"such":[26],"as":[27],"Ghana.":[28,283],"Maternal":[29],"age,":[30],"marital":[31],"status,":[32],"educational":[33],"level,":[34],"availability":[37],"a":[39,75],"unit":[40],"preconception":[42,51,64,160,194,207,245,265,271,313],"factors":[44,61,137],"found":[45],"affect":[47],"care":[52,65,161,195,208,246,266,272,314],"services.":[53],"This":[54,73],"study":[55,78,98],"investigated":[56],"knowledge,":[58],"uptake,":[59,290],"associated":[62,138,226,288],"with":[63,139,184,227,234,249,251,289],"among":[67,210,218,277],"reproductive-age":[68,278],"Tarkwa-Nsuaem":[71,88,281],"Municipality.":[72],"was":[74,93,114,147,180,197,230,286],"community-based":[76],"cross-sectional":[77,293],"281":[80],"reproductive":[83],"age":[84],"(WRA)":[85],"within":[86],"municipality.":[89],"Multistage":[90],"random":[91],"sampling":[92],"employed":[94],"recruit":[96],"participants":[99,187],"from":[100],"1st":[101],"November":[102],"2022":[103],"30th":[105],"December":[106],"2022.":[107],"A":[108,141],"pretested":[109],"researcher-administered":[111],"structured":[112],"questionnaire":[113],"used":[115,134],"data":[118,121],"collection.":[119],"The":[120,223],"were":[122,133,274],"analysed":[123],"via":[124],"Stata":[125],"16.0.":[126],"Bivariate":[127],"multivariate":[129],"logistic":[130],"regression":[131],"models":[132],"determine":[136],"uptake.":[140,328],"p":[142,260],"value":[143],"less":[144],"than":[145],"0.05":[146],"considered":[148],"significant":[149],"at":[150],"95%":[152,257],"confidence":[153],"level.":[154],"Among":[155],"specific":[157],"components":[158,267,309],"(PCC)":[162],"assessed":[163],"(folic":[164],"acid":[165,178],"supplementation,":[166],"vaccination,":[167],"family":[168],"planning,":[169],"genetic":[170],"screening,":[171],"avoidance":[173],"hazardous":[175],"environments),":[176],"folic":[177],"supplementation":[179],"most":[182],"recognized,":[183],"38.8%":[185],"being":[188],"aware":[189],"it.":[191],"Uptake":[192],"17.4%.":[198],"Overall,":[199],"24.6%":[200],"had":[203,237],"adequate":[204,235],"knowledge":[205,231,236,253,285,326],"(71.4%":[209],"who":[212,220],"accessed":[213],"these":[214],"versus":[216],"14.7%":[217],"those":[219,250],"did":[221],"not).":[222],"main":[224],"factor":[225],"PCC":[228],"status;":[232],"about":[238],"14":[239],"times":[240],"odds":[242],"using":[244],"compared":[248],"inadequate":[252],"[AOR":[254],"=":[255],"13.8;":[256],"CI":[258],"6.1\u201331.5;":[259],"<":[261],"0.001].":[262],"Knowledge":[263],"both":[275],"low":[276],"Municipality,":[282],"Adequate":[284],"strongly":[287],"although":[291],"design":[294],"cannot":[295],"establish":[296],"direction":[298],"association.":[301],"Efforts":[302],"women\u2019s":[305],"awareness":[306],"benefits":[311],"merit":[315],"consideration,":[316],"longitudinal":[318],"studies":[319],"needed":[321],"test":[323],"whether":[324],"better":[325],"increases":[327]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-11-07T00:00:00"}
