Development of a preliminary risk assessment form for women of reproductive age before pregnancy of Health Region 7

Abstract

Objective: To develop a preliminary risk screening form for women of reproductive age before pregnancy in Health Region 7 and study the results of using the developed screening form in terms of accuracy, completeness, clarity, and ease of use.
          Method : This research is an action research from March to September 2023. sample group There were 384 Thai women of reproductive age, aged 15-49 years, in the health service area, Health Zone 7. The study was conducted in 4 phases as follows: Phase 1 studied preliminary risk screening. Phase 2 developed the system and screening forms. Preliminary risk, etc. 7 Phase 3: Trial and evaluate the use of the preliminary risk screening form. Phase 4: Study the results of preliminary risk screening.
          Result : Preliminary risk screening form for women of reproductive age. by public health volunteers It was found to have a sensitivity of 100 percent, indicating that the screening test has the ability to correctly identify people with the disease. From the group with 100% certainty that they were at high risk, the specificity value was 85.08%, showing that the screening test was able to screen and return a negative result. In people who were not sick with that disease, the accuracy was 85.08% and the efficiency was 94.79%, showing that the screening test can be used to screen for disease and found that the screening results were positive in people at high risk. and the screening results were low risk in 94.79% of normal people and women of reproductive age. who were referred for advice and further care in the service unit according to their potential, 100 percent were found to be at high risk due to Congenital diseases: diabetes, high blood pressure, allergies, thyroid asthma, 20 cases, accounting for 7.4 percent.
          Conclusion : The use of preliminary risk screening for women of reproductive age before pregnancy by public health volunteers. It is a preliminary tool that can be used to identify women of reproductive age who are at high risk if they become pregnant. and help women of reproductive age to be referred for appropriate diagnosis and treatment. Prevent potential dangers to pregnant women and fetuses.