The effects of pregnancy intention on the use of antenatal care services: systematic review and meta-analysis

Abstract Background Preconception care is the provision of biomedical, behavioural, and social health interventions provided to women and couples before conception. However, in Ethiopia, little is known and practised to support preconception care. Therefore, this study aimed to assess women’s knowledge and utilisation of preconception care and its associated factors in Ethiopia using systematic review and meta-analysis. Method In the current meta-analysis, variables were searched from different electronic database systems, which included PubMed, Google Scholar, EMBASE, HINAR, Scopus, Web of Sciences, and Grey literature. Data were extracted using a standardised data collection measurement tool. The data were analysed by using STATA 14 statistical software. I2 tests assessed heterogeneity between the studies. A random-effect model was used to forecast the pooled knowledge and utilisation of preconception care. Results Thirteen full-text studies were included. The pooled prevalence of knowledge and utilisation of preconception care among women in Ethiopia was 30.95% and 16.27% respectivelly. Secondary education (OR = 2.78, 95% CI,2.01–3.85), college and above (OR = 5.05, 95% CI,2.70–9.44), and antenatal care (OR = 3.89, 95% CI, 1.69–8.98) were significantly associated with knowledge level whereas; age (OR = 2.43, 95% CI, 1.30–4.53) and knowledge on preconception care (OR = 3.95, 95% CI,2.35–6.62) were positively associated with utilisation of preconception. Conclusions Women’s level of knowledge and utilisation of preconception care was significantly low. Educational status and antenatal care follow-up were factors shown to affect knowledge of preconception care. Age and having a sound knowledge of preconception care indicated a significant association towards utilisation of preconception care. Thus, integrating preconception care strategies and policies that can address all the components of preconception care services with other maternal and child health services will be essential when designing effective implementation strategies to improve preconception care uptake. Besides this, advocating for better education for women, awareness creation, and increasing antenatal care services are essential. Prospero registration: CRD42020218062

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Association between pregnancy intention and late initiation of antenatal care among pregnant women in Ethiopia: a systematic review and meta-analysis

Systematic Reviews ◽

10.1186/s13643-020-01449-9 ◽

2020 ◽

Vol 9 (1) ◽

Author(s):

Tadesse Tolossa ◽

Ebisa Turi ◽

Getahun Fetensa ◽

Ginenus Fekadu ◽

Fassikaw Kebede

Keyword(s):

Systematic Review ◽

Antenatal Care ◽

Pregnant Women ◽

Meta Analysis ◽

Pregnancy Intention ◽

Late Initiation

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Postnatal care service utilization and associated factors in Ethiopia: A systematic review and Meta-analysis

10.21203/rs.2.10475/v1 ◽

2019 ◽

Author(s):

Bekalu Kassie ◽

Melaku Desta ◽

Habtamu Chanie ◽

Bekele Tesfaye ◽

Muluken Wubetu ◽

...

Keyword(s):

Systematic Review ◽

Antenatal Care ◽

Service Utilization ◽

Postnatal Care ◽

Associated Factors ◽

Care Service ◽

Meta Analysis ◽

Wealth Quintile ◽

Care Services

Abstract Background: In Ethiopia, literatures are not in agreement on magnitude of utilization of postnatal care service and factors are not well identified. Hence, this systematic review and meta-analysis aimed to engender pooled evidence of magnitude of postnatal care service utilization and associated factors. Methods: For this systematic review and meta-analysis international databases such as, HINARI, PubMed, Medline, EMBASE, Google scholar and Cochrane library were used for searching studies published from 2002 to 2018 in English language. The Modified Newcastle- Ottawa quality assessment scale was used to assess the quality of studies and meta-analysis was conducted using STATA version 14. Q statistics and I2 test were used to assess the heterogeneity. The random effect model was used to estimate the pooled utilization of postnatal care at 95%CI. Result: Total of 22 articles with total samples of 42,320 women were included to this review. The pooled prevalence of postnatal care service utilization in Ethiopia was 41.5% (95%CI: 28.51-54.52). Women who attended formal education (OR, 2.37, 95%CI: 1.13, 4.97), had middle level and above household’s wealth quintile (OR, 2.57, 95%CI: 1.31,5.05), had antenatal care visit (OR, 6.72, 95%CI: 4.16, 10.87), being multigravida (OR, 0.68, 95%CI: 0.53, 0.88) and gave birth in health institutions (OR, 3.86, 95%CI: 2.89, 5.16) were high likely to utilize postnatal care services while rural resident women (OR, 0.17, 95%CI: 0.05, 0.60) were less likely to utilize postnatal care services. Conclusion: Postnatal care service utilization in Ethiopia is low (41.5%). It is affected by educational status, residence, wealth quintile, gravidity, antenatal care follow up and place of delivery. Scale up the service and awareness for rural people, improving economic status of the household, improve antenatal care follow up, and promote institutional delivery are having paramount importance. Key words: Health care service utilization, Ethiopia, systematic review, Meta-analysis

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Predictors of Malnutrition among Pregnant Women in Ethiopia: Systematic Review and Meta-Analysis

10.21203/rs.3.rs-34039/v1 ◽

2020 ◽

Author(s):

Temesgen Getaneh ◽

Ayenew Negesse

Keyword(s):

Systematic Review ◽

Antenatal Care ◽

Pregnant Women ◽

Iron Supplementation ◽

Maternal Education ◽

Dietary Diversity ◽

Meta Analysis ◽

Pregnancy Intention ◽

World Health ◽

Pooled Prevalence

Abstract Background Women of reproductive age are especially vulnerable to protein energy deficiency and under nutrition. Malnutrition is the underlying cause of significant maternal morbidity and mortality. In addition, malnutrition among women is a major risk factor for adverse birth outcomes. Its extent and consequences is highly prevalent in developing countries. This major burden can be reduced through effective nutritional interventions. So, up to date meager evidences were warranted. Therefore, this systematic review and meta-analysis was aimed to estimate the overall pooled prevalence of malnutrition and its predictors among pregnant women in Ethiopia. Methods Articles were systematically searched using PubMed, EMBASE, Google Scholar, World Health Organization’s (WHO) Hinari portal data bases and institutional repositories. Newcastle‒Ottawa quality assessment scale adapted for observational studies was applied. We used Stata version 14 for data analysis. Heterogeneity and publication bias were checked using I2 statistic, funnel plot asymmetry and Egger’s test. Random effect model was applied to estimate the pooled prevalence of malnutrition and its predictors. Odds Ratio (OR) with 95% Confidence Interval (CI) was also considered to identify factors. Result 24 eligible articles were included for final analysis. The average pooled prevalence of malnutrition among pregnant women in Ethiopia was 29.07% (95% CI: 24.84, 33.30). Maternal education (OR = 1.60, 95% CI: 1.01, 2.53), income (OR = 3.07, 95% CI: 1.36, 6.92), pregnancy intention (OR = 1.33, 95% CI: 1.01, 1.37), number of meal (OR = 4.63, 95% CI: 3.00, 7.15), dietary diversity (OR = 2.89, 95% CI: 1.28, 6.53), antenatal care (OR = 2.53, 95% CI: 1.18, 5.42) and iron supplementation (OR = 0.63, 95% CI: 0.45, 0.88) were predictors of the pooled prevalence of malnutrition among pregnant women in Ethiopia. Conclusion Generally, significant number of pregnant women in Ethiopia were suffered from malnutrition. Maternal education, income, pregnancy intention, number of meal, dietary diversity, antenatal care and iron supplementation were significant predictors of malnutrition. Strategies targeting advocating women education, standard antenatal care, family planning utilization, and encouraging pregnant women to have good dietary diversity and frequent meal should be undertaken by Ministry of Health and its stake holders to handle this signficant budren of malnutrition among pregnant women.

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Faculty Opinions recommendation of Integrating antiretroviral therapy into antenatal care and maternal and child health settings: a systematic review and meta-analysis.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.717977253.793470308 ◽

2013 ◽

Author(s):

Anthony Harries

Keyword(s):

Systematic Review ◽

Antiretroviral Therapy ◽

Child Health ◽

Antenatal Care ◽

Maternal And Child Health ◽

Meta Analysis ◽

And Child Health

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Pooled estimate of vitamin D deficiency among pregnant women in India: a systematic review and meta-analysis

Journal of Health Population and Nutrition ◽

10.1186/s41043-021-00253-y ◽

2021 ◽

Vol 40 (1) ◽

Author(s):

Angeline Jeyakumar ◽

Vidhya Shinde ◽

Reshma Ravindran

Keyword(s):

Systematic Review ◽

Vitamin D ◽

Pregnant Women ◽

Vitamin D Deficiency ◽

Meta Analysis ◽

Health Concern ◽

Study Quality ◽

Care Services ◽

Pooled Prevalence ◽

Women In India

Abstract Background Vitamin D deficiency among pregnant women is a public health concern globally. In India, individual studies report high prevalence. However, lack of national data masks the true burden. This work determined the pooled prevalence of vitamin D deficiency among pregnant women in India through a systematic review of literature and meta-analysis. Methods Three different search engines yielded 15 eligible articles. Study quality was assessed by 10 different criteria and summary of study quality was categorized as per Cochrane standards. Meta-analysis was performed to estimate pooled prevalence of vitamin D deficiency among healthy pregnant women and heterogeneity among selected studies. A sample of n = 4088 was used to study the pooled prevalence among pregnant women. Results The random effects combined estimate was 32.35% (95% CI, (12.58–117.48). High heterogeneity (tau2 = 0.39, I2 = 100%) and high risk of bias was observed among the selected studies. The test for overall effect was observed to be z = 2.54(P = 0.01). Conclusion Pooled estimate > 30% emphasizes the need for screening through antenatal care services and initiate preventive measures to address the deficiency.

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Predictors of lost to follow up from antiretroviral therapy among adults in sub-Saharan Africa: a systematic review and meta-analysis

Infectious Diseases of Poverty ◽

10.1186/s40249-021-00822-7 ◽

2021 ◽

Vol 10 (1) ◽

Author(s):

Hafte Kahsay Kebede ◽

Lillian Mwanri ◽

Paul Ward ◽

Hailay Abrha Gesesew

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Meta Analysis ◽

Sub Saharan Africa ◽

Hiv Care ◽

Care Services ◽

Validity Assessment ◽

Sub Saharan ◽

Lost To Follow Up

Abstract Background It is known that ‘drop out’ from human immunodeficiency virus (HIV) treatment, the so called lost-to-follow-up (LTFU) occurs to persons enrolled in HIV care services. However, in sub-Saharan Africa (SSA), the risk factors for the LTFU are not well understood. Methods We performed a systematic review and meta-analysis of risk factors for LTFU among adults living with HIV in SSA. A systematic search of literature using identified keywords and index terms was conducted across five databases: MEDLINE, PubMed, CINAHL, Scopus, and Web of Science. We included quantitative studies published in English from 2002 to 2019. The Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) was used for methodological validity assessment and data extraction. Mantel Haenszel method using Revman-5 software was used for meta-analysis. We demonstrated the meta-analytic measure of association using pooled odds ratio (OR), 95% confidence interval (CI) and heterogeneity using I2 tests. Results Thirty studies met the search criteria and were included in the meta-analysis. Predictors of LTFU were: demographic factors including being: (i) a male (OR = 1.2, 95% CI 1.1–1.3, I2 = 59%), (ii) between 15 and 35 years old (OR = 1.3, 95% CI 1.1–1.3, I2 = 0%), (iii) unmarried (OR = 1.2, 95% CI 1.2–1.3, I2 = 21%), (iv) a rural dweller (OR = 2.01, 95% CI 1.5–2.7, I2 = 40%), (v) unemployed (OR = 1.2, 95% CI 1.04–1.4, I2 = 58%); (vi) diagnosed with behavioral factors including illegal drug use(OR = 13.5, 95% CI 7.2–25.5, I2 = 60%), alcohol drinking (OR = 2.9, 95% CI 1.9–4.4, I2 = 39%), and tobacco smoking (OR = 2.6, 95% CI 1.6–4.3, I2 = 74%); and clinical diagnosis of mental illness (OR = 3.4, 95% CI 2.2–5.2, I2 = 1%), bed ridden or ambulatory functional status (OR = 2.2, 95% CI 1.5–3.1, I2 = 74%), low CD4 count in the last visit (OR = 1.4, 95% CI 1.1–1.9, I2 = 75%), tuberculosis co-infection (OR = 1.2, 95% CI 1.02–1.4, I2 = 66%) and a history of opportunistic infections (OR = 2.5, 95% CI 1.7–2.8, I2 = 75%). Conclusions The current review identifies demographic, behavioral and clinical factors to be determinants of LTFU. We recommend strengthening of HIV care services in SSA targeting the aforementioned group of patients. Trial registration Protocol: the PROSPERO Registration Number is CRD42018114418

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