Preconception Care Practice and Associated Factors Among Health Care Providers in Selected Public Hospitals in Addis Ababa, Ethiopia, 2020: A Cross Sectional Study

Background: Preconception care (PCC) is the arrangement of biomedical, behavioral, and social wellbeing mediations to ladies and couples before conception happens.In any case, it is one of the lost components inside the continuum of maternal and child healthcare.Healthcare providers (HCPs) are at the cutting edge of screening and recognizing preconception risk factors driving to adverse pregnancy results.Objective: To assess preconception care practice and associated factors among health care providers in selected public hospitals in Addis Ababa.Methods: Institutional based cross-sectional study was done among 852 of HCPs using pretested structured self-administered questionnaires.Study participants were selected by a simple random sampling technique.Data entry and analysis were used by Epi-data version 4.6 software, and SPSS version 25 respectively.Descriptive statistics, bivariate, and multivariable logistic regression analysis were used to determine the association.Results: A total of 781 study participants, 55.7% of HCPs had a good level of knowledge of PCC.The level of PCC practice (N = 775), lower practice 19.7%, medium practice 43%, and high-level practice 37.3% found in this study.Those HCPs with poor PCC knowledge had more than 5 times higher odds of not practicing PCC (AOR = 5.49 95% C.I. 3.84-7.84).Whereas, those HCPs who do not screen their clients' reproductive life plan (RPL) had more than 3 times higher odds of not practicing PCC (AOR = 3.84 95% C.I. 2.20-6.71). Conclusion and recommendation:The findings of this study showed PCC practice was not well incorporated and consistent which indicates that PCC is not well coordinates into the study space.Creating of PCC approach and rules additionally preparing of HCPs are recommended to fortify the integration of the health care system.