The Silent Crisis in Maternal Health: Why Preconception Care Deserves Greater Attention - Non-Clinical Interventions and Their Untapped Potential

Purpose: In spite of the increased international efforts at decreasing maternal and infant mortality rates, preconception care (PCC) is a greatly neglected aspect of maternal health. This paper aims to bring to light the invisible crisis of PCC and understand how non-clinical interventions could play a role in avoiding negative pregnancy outcomes and enhancing long-term health in mothers and children. Materials and Methods: There was a qualitative study design. The study conducted a systematic review of peer-reviewed journals, WHO reports, and grey literature. Interviews of 10 maternal health practitioners and experts were also analyzed to assess the current barriers and opportunities in PCC implementation. Findings: The results reveal significant underuse of PCC services in both advanced and emerging economies, primarily attributable to limited awareness, policy deficits, cultural beliefs, and fragmented healthcare systems. Non-clinical interventions like health coaching, community-based education, digital wellness platforms, and psychosocial support networks are recognized as underused assets that can effectively lower these disparities. Unique Contribution to Theory, Practice and Policy: The research contributes to the Health Belief Model by demonstrating the influence of belief systems on the use of PCC. Practically, it calls for policy structures that incorporate PCC into national health strategies. For policymakers, the research recommends that non-clinical interventions be considered as cost-effective, community-based models for improving maternal health outcomes.