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| Illustrated examples of preconception care interventions |
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Nutritional conditions | Supply iron and folic acid Screen for anaemia Monitor nutritional status Provide nutrition education, and counselling |
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Vaccine-preventable diseases | Vaccinate against rubella, tetanus, and hepatitis B |
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Genetic conditions | Provide genetic screening, counselling and testing where needed Discuss reproductive outcomes and options and provide the appropriate services |
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Environmental health | Provide guidance on how to avoid unnecessary exposure to radiation, pesticides and lead Promote the use of improved stoves and cleaner liquid/gaseous fuels |
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Infertility/subfertility | Increase awareness and understanding on infertility and sub-fertility Screen, diagnose and treat for infertility and sub-fertility |
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Female Genital Mutilation (FGM) | Increase awareness and understanding on female genital mutilation Screen to detect complications and provide information on where to get treatment Carry out defibulation of infibulated or sealed girls and women Treat complications |
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Too-early, unwanted, and rapid successive pregnancies | Educate girls and boys about sexuality Provide contraceptive information and services Link health service provision to activities aimed at: (i) reducing marriage before the age of 18 years; (ii) keeping girls in school |
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Sexually transmitted infections | Provide age-appropriate sexual health education and safer sex promotion Promote condoms Screen and treat for sexually transmitted infections |
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HIV | Provide age-appropriate sexual health education and safer sex promotion Provide HIV counselling and testing Provide treatment for HIV-related illnesses when needed Enrol women in mother to-child transmission (PMTCT) programmes, antenatal care programmes and provide family planning services |
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Interpersonal violence | Recognize signs of violence against women Provide medical and psychosocial care Link health service provision to activities aimed at: (i) changing harmful gender norms; (ii) bringing about gender equality; (iii) empowering girls and women economically |
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Mental health | Provide information and counselling Diagnose and manage mental health and neurological conditions Link health service provision to activities aimed at strengthening community networks and women’s empowerment |
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Psychoactive substance abuse | Screen for and—where needed—treat substance abuse Provide information and counselling to reduce substance use |
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Tobacco use | Screen for tobacco use (smoking and smokeless tobacco) Provide information and counselling on tobacco cessation Provide information on the dangers of second-hand smoke |
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