Maternal and Child Health Journal

, Volume 18, Issue 5, pp 1066–1074 | Cite as

Preconception Health Assessment in China, Lebanon and the Philippines: Applicability to Other Countries

  • Mary-Elizabeth Reeve
  • Lama Charafeddine
  • Nanbert Zhong
  • Carmencita D. Padilla
  • Khalid Yunis
  • Reem El Rafei
  • Kawthar Alamiddine
  • Xinliang Zhao
  • Xiaoqing Jiang
  • Christopher P. Howson


To test the utility of a preconception checklist tool in identifying preconception health needs of women in three countries; China, Lebanon and the Philippines. An academic medical center within each country participated in the development and testing of a preconception checklist tool, which was administered over a 6 month period to selected target groups in each country. The checklist provided valuable data on the preconception health of 6,530 women. Aggregated data identified common preconception health needs across all countries, including provision of modern contraceptives and adequate immunization coverage; HIV and STI screening; treatment for anemia; and counseling for maintenance of a healthy weight. A preconception checklist tool was found to be useful in distinct cultural settings. The study was a pilot. Future steps include validation and standardization of the checklist, data from which could be used to help shape preconception care policies and implementation strategies.


Preconception health assessment Preconception care Global maternal and child health Middle-income countries 



The authors would like to acknowledge the financial support of the March of Dimes Foundation for the project. Dr. Padilla would like to acknowledge the contribution of Aster Lynn Sur and Ariel Lescano in data collection and analysis in the Philippines. Dr. Zhong would like to acknowledge the contribution of Drs. Lixia Zhang, Fengying Ma and Xiaoyan He for their role in data collection and analysis in China. Each was supported through funding from the March of Dimes Foundation grant for the project. Dr Yunis acknowledges the assistance of his team at the National Collaborative Perinatal Neonatal Network and the Lebanese Obstetrics Society.


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Mary-Elizabeth Reeve
    • 8
  • Lama Charafeddine
    • 2
  • Nanbert Zhong
    • 3
  • Carmencita D. Padilla
    • 4
  • Khalid Yunis
    • 2
  • Reem El Rafei
    • 5
  • Kawthar Alamiddine
    • 6
  • Xinliang Zhao
    • 3
  • Xiaoqing Jiang
    • 7
  • Christopher P. Howson
    • 1
  1. 1.Global ProgramsMarch of Dimes FoundationWhite PlainsUSA
  2. 2.Department of Pediatrics and Adolescent MedicineAmerican University of BeirutBeirutLebanon
  3. 3.Center of Medical GeneticsPeking UniversityBeijingChina
  4. 4.Department of GeneticsUniversity of the PhilippinesManilaPhilippines
  5. 5.National Collaborative Perinatal Neonatal NetworkBeirutLebanon
  6. 6.Department of Emergency Medicine, Labib Medical Center-Newborn ServicesAmerican University of BeirutBeirutLebanon
  7. 7.Jiangsu Provincial Maternal and Children’s HospitalNanjingChina
  8. 8.Global Maternal and Preconception HealthHealdsburgUSA

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