Background: Reproductive health is a cornerstone of public health, directly influencing maternal and child mortality rates. In Uzbekistan, the primary healthcare system relies heavily on patronage nurses to deliver care to women of reproductive age (WRA). However, the effectiveness of nursing interventions in outpatient settings remains under-evaluated. This study aims to assess the impact of an "Enhanced Nursing Care Model" on reproductive health indicators, patient satisfaction, and preventive behavior among WRA in the Andijan region. Methods: A prospective comparative study was conducted in 4 Family Polyclinics. 400 women of reproductive age were enrolled. The Intervention Group (n=200) received care from nurses trained in a new protocol (active counseling, home monitoring, digital tracking), while the Control Group (n=200) received standard care. Key performance indicators included contraceptive prevalence rate, screening coverage for cervical cancer/anemia, and patient satisfaction scores over a 12-month period. Results: The Intervention Group showed a significantly higher uptake of modern contraceptives (62% vs. 45%, p<0.01) and improved screening rates for anemia (95% vs. 70%). Patient satisfaction with nursing care was 92% in the Intervention Group compared to 68% in the Control Group. Nurses in the enhanced model identified high-risk pregnancies earlier (8 weeks gestation vs. 14 weeks). Conclusion: Expanding the role and competency of nurses in outpatient settings significantly improves reproductive health outcomes. A proactive, nurse-led model is cost-effective and essential for strengthening the primary care system.

Nursing, reproductive health, outpatient care, patronage, contraception, patient satisfaction, primary healthcare.

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Ahmedov, M. (2020). Challenges in primary care nursing in Uzbekistan. Central Asian Journal of Global Health.

Jassim, G. A., et al. (2017). Strategies for increasing uptake of cervical screening. Cochrane Database of Systematic Reviews.