Abstract:
Background: Preconception care is a set of interventions and programmes that aims to identify 
and enable informed decision-making to modify biomedical, behavioral, and social risks through 
counseling, prevention and management of risk factors before pregnancy. Millions of women in 
the world do not have access to pre-pregnancy service with suitable quality. Therefore 
addressing this important topic and coming up with necessary information will help to improve 
maternal and child health in our country.
Objective: To assess preconception care knowledge and associated factors among reproductive 
age group women in Ambo town, Ambo, Ethiopia, 2024 G.C
Methods: A community based cross-sectional study design was employed from January 15 to 
March 01, 2024 in Ambo town. Stratified sampling technique was used to select 480 
reproductive age group women from three kebeles. Data were collected using mobile Kobo 
Toolbox android application then cleaned and analyzed using SPSS version 26. Descriptive 
analysis was used for summarizing continuous variables. Binary logistic regression analysis were 
done and variables with a P- value < 0.25 in bivariate analysis were transferred to multivariate 
analysis. In multivariate, a P- value ≤0.05 and OR with 95% CI considered for the presence of a 
statistically significant association.
Result: A total of 480 reproductive age women were involved in this study, with a response rate 
of 96.1%. Women’s Knowledge on preconception care was 15.6% (95% CI: 12, 19). College 
diploma and above women AOR: 6.13 (95% CI: 1.81, 10.77), Women’s who have ever heard 
about PCC AOR: 16.14 (95% CI: 6.53, 13.89), Women who have positive attitude towards 
preconception care AOR: 2.77 (95% CI: 1.2, 6.37) were significantly associated with knowledge 
of preconception care. 
Conclusions and recommendation: The study showed overall prevalence of preconception 
care knowledge among reproductive age women of ambo town was low. Having a better 
educational level, ever hearing about preconception care and having good attitude towards to 
preconception care has positive effect on knowledge of PCC. Therefore, programs need to 
incorporate PCC as a routine part of primary health care when designing effective 
implementation strategies for improving preconception care service.