Prevalence unmet need for family planning and its associated factors in Ethiopia 2019: sytematic review and meta analysis

10.21203/rs.2.12793/v1 ◽

2019 ◽

Author(s):

Temesgen Getaneh ◽

Ayenew Negesse ◽

Tebabere Moltot

Keyword(s):

Family Planning ◽

Associated Factors ◽

Meta Analysis ◽

Random Effect ◽

Random Effect Model ◽

Unmet Need ◽

Reproductive Age ◽

Early Marriage ◽

Cochrane Library ◽

Pooled Prevalence

Abstract Background unmet need for family planning is a common cuase of uninteded pregnancy which mostly end up with abortion. Many fragmented studies were conducted on unmet need in Ethiopia but no single evidence was present. So this meta analysis was established to estimate the pooled prevalence of unmet need for family planning in Ethiopia. Methods articles were retrived through search engines: PubMed/MEDLINE, EMBASE, CINAHL, Google Scholar, HINARI portal, and Cochrane Library using the preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA) checklist guidelines. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) was applied for critical appraisal of included articles. Random effect model meta analysis was done to estimate the pooled prevalence of unmet need for family planning with their respective Odds Ratio (OR) and 95% confidence interval (CI). Cochran’s Q statistic, Egger’s and Begg’s test and meta regression were carried out to assess heterogeneity, publication bias and to identify associated factors respectively. Results 15 articles and 17, 585 reproductive age women were included to estimate the polled prevalence of unmet need for family planning in Ethiopia. The pooled prevalence of unmet need for family planning in Ethiopia was 31.45% (95%CI: 26.52, 36.39). Age at first marriage <18yrs with OR=2.3 (95% CI: 1.08, 4.87), being illiterate women with OR= 0.9 (95%CI: 1.19, 3.04), illiterate partner with OR=1.78 (95%CI: 1.18, 2.68) and absence of discussion with their partner with OR=3.52 (95%CI: 2.56, 4.87) were the associated factors. Conclusion This meta analysis revealed the prevalence of unmet need for family planning in Ethiopia was high. Early marriage, illiteracy and absence of open discussion were factors affecting the prevalence of unmet ned for family planning. Therefore, the responsible body inlcuding family health guiadance should strength women empowerment interms of education (equal accessible eduaction for all), avoid early marriage (before 18yrs) and facilitate open partners discussion within house hold.

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Predictors of unmet need for family planning in Ethiopia 2019: a systematic review and meta analysis

Archives of Public Health ◽

10.1186/s13690-020-00483-2 ◽

2020 ◽

Vol 78 (1) ◽

Author(s):

Temesgen Getaneh ◽

Ayenew Negesse ◽

Getenet Dessie ◽

Melaku Desta ◽

Tebabere Moltot

Keyword(s):

Family Planning ◽

Formal Education ◽

Meta Analysis ◽

Random Effect ◽

Random Effect Model ◽

Unmet Need ◽

Reproductive Age ◽

Early Marriage ◽

Cochrane Library ◽

Pooled Prevalence

Abstract Background unmet need for family planning is a common cause of uninteded pregnancy which mostly end up with abortion. Many studies were conducted on predictors of unmet need of family planning in Ethiopia. But, up until now, single evidence has not been synthesized and various point prevalence estimates of unmet need for family planning have been reported. Therefore, this sytematic review and meta analysis was established to identify the predictors of unmet need for family planning in Ethiopia. Methods search engines including PubMed, Embase, CINAHL, Google Scholar, HINARI portal, and Cochrane Library were used to retrieve included articles and reported using the preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA) checklist guidelines. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) was applied for critical appraisal. All observational studies done on reproductive age women and reported on unmet need for family planning were included. Unmet need for family planning is the percentage of women of reproductive age, either married or in a union, who have an unmet need for family planning to stop or delay childbearing. Random effect model was done to estimate the pooled prevalence of unmet need for family planning. Odds ratio with 95% confidence interval was considered to determine the association of identified variables with unmet need of family planning. Cochran’s Q statistic, Egger’s and Begg’s test were carried out to assess heterogeneity and publication bias. Results Fifteen articles and 17, 585 reproductive aged women were included to estimate the pooled prevalence of unmet need for family planning and its predictors in Ethiopia. The prevalence of unmet need for family planning in Ethiopia ranges from 26.52 to 36.39%. Age at first marriage < 18 yrs. with OR = 2.3 (95% CI: 1.08, 4.87), women with no formal education with OR = 1.9 (95%CI: 1.19, 3.04), partner with no formal education with OR = 1.78 (95%CI: 1.18, 2.68) and absence of discussion with their partner about family planning with OR = 3.52 (95%CI, 2.56, 4.87) were predictors of unmet need of family planning in Ethiopia. Conclusion This meta analysis revealed that, the prevalence of unmet need for family planning in Ethiopia was high as compared with the United Nations sphere standard of unmet need for planning, considered to be high if it is greater than 25%. Early marriage, no formal eduaction and lack of discussion with partner on family planning were predictors of unmet need for family planning. Therefore, efforts are needed to empower women through eduaction, avoiding early marriage and facilitating dicussion of partners about family planning in order to improve family planning usage.

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The prevalence and associated factors of hepatitis B and C virus in hemodialysis patients in Africa: A systematic review and meta-analysis

PLoS ONE ◽

10.1371/journal.pone.0251570 ◽

2021 ◽

Vol 16 (6) ◽

pp. e0251570

Author(s):

Tiruneh Adane ◽

Solomon Getawa

Keyword(s):

Hepatitis B ◽

Associated Factors ◽

Meta Analysis ◽

Random Effect ◽

Random Effect Model ◽

Invasive Procedure ◽

Control Measures ◽

Cochrane Library ◽

Strict Adherence ◽

Pooled Prevalence

Background Due to its invasive procedure patients on hemodialysis (HD) are at high risk of infections. Infections acquired in dialysis units can prolong hospitalization date and/or prolong illness in patients, and increase treatment cost. There are no adequate data on the prevalence of Hepatitis B virus (HBV) and Hepatitis C virus (HCV) infections in HD patients. Therefore, this study aimed to estimate the pooled prevalence and associated factors of HBV and HCV infections among HD patients in Africa. Method The databases PubMed, Medline, EMBASE, Cochrane library, web of science, African Journals Online, Science Direct, and Google Scholar were searched to identify relevant studies. The review was performed based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Data were extracted independently by two authors and analyzed using STATA 11. A random-effect model was fitted to estimate the pooled prevalence with their 95% confidence interval. To detect publication bias funnel plots analysis and Egger weighted regression tests were done. Results The overall pooled prevalence of HBV and HCV infection among HD patients in Africa was 9.88% (95% CI: 7.20–12.56) I2 = 97.9% and 23.04% (95% CI: 18.51–2757) I2 = 99.6%, respectively. In addition, the pooled prevalence of HBV and HCV co-infection was 7.18% (95% CI: 3.15–11.20) I2 = 99.6%. Duration of dialysis was found to be the contributing factor for the occurrence of HBV and HCV among HD patients (OR = 1.44; 95% CI: 1.04, 2.01). Conclusion This study showed that there is high prevalence of HBV and HCV infections in HD patients in Africa. Therefore, strict adherence to precautions of infection control measures, isolation of seropositive patients, improvement in infrastructures, adequate screening of HBV and HCV for the donated blood, and decentralized HD services is needed to minimize the risk of HBV and HCV infections in HD facilities.

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Unmet need for family planning among reproductive-age women living with HIV in Ethiopia: A systematic review and meta-analysis

PLoS ONE ◽

10.1371/journal.pone.0255566 ◽

2021 ◽

Vol 16 (8) ◽

pp. e0255566

Author(s):

Bereket Kefale ◽

Bezawit Adane ◽

Yitayish Damtie ◽

Mastewal Arefaynie ◽

Melaku Yalew ◽

...

Keyword(s):

Systematic Review ◽

Family Planning ◽

Meta Analysis ◽

Unmet Need ◽

Reproductive Age ◽

Cochrane Library ◽

Women Living With Hiv ◽

Reproductive Age Women ◽

Pooled Prevalence ◽

Living With Hiv

Background Closing the gap of unmet for family planning is crucial to eliminate new pediatric HIV infections likewise to improve maternal and child health among reproductive-age women living with HIV. However, studies conducted on unmet need for family planning among reproductive-age women living with HIV showed inconsistent and non-conclusive findings on the magnitude of the problem. Moreover, there was no meta-analysis conducted in this area. So this systematic review and meta-analysis were conducted to estimate the pooled prevalence unmet need for family planning among reproductive-age women living with HIV in Ethiopia. Methods The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was followed to review both published and unpublished studies in Ethiopia. All studies in PubMed, Cochrane Library, Hinari, Google Scholar, CINAHL, and Global Health databases were searched. Meta-analysis was performed using STATA 14 software. The heterogeneity and publication bias were assessed using the I2 statistics and Egger regression asymmetry test, respectively. Forest plots were used to present the pooled prevalence with a 95% confidence interval (CI). Results This review included 7 studies, and 3333 study participants. The pooled prevalence of unmet need for family planning among reproductive-age women living with HIV in Ethiopia was 25.13% (95%CI: 19.97, 30.29). The pooled prevalence of unmet need for spacing and limiting was 13.91% (95%CI: 10.11, 17.72) and 9.11% (95%CI: 6.43, 11.78), respectively. Conclusions One-fourths of reproductive-age women living with HIV had an unmet need for family planning. A variety of programmatic investments are needed to achieve more meaningful progress toward the reduction of unmet need for family planning among reproductive-age women living with HIV.

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Prevalence and factors associated with malaria among under-five children in Ethiopia: A Systematic review and Meta-analysis Protocol

10.21203/rs.3.rs-28903/v1 ◽

2020 ◽

Author(s):

Abay Woday ◽

Mulluken Dessalegn ◽

Setognal Birara ◽

Kusse Urmale

Keyword(s):

Systematic Review ◽

Associated Factors ◽

Statistical Significance ◽

Grey Literature ◽

Random Effect ◽

Random Effect Model ◽

Cochrane Library ◽

Under Five ◽

Under Five Children ◽

Pooled Prevalence

Abstract Background: The Sub-Saharan African countries have been carried 80% of the global burden of malaria. Consequently, malaria is still the leading cause of under-five mortality in developing nations. In Ethiopia, studies conducted regarding prevalence and associated factors of malaria among under five children are inconsistently reported and highly variable.Objective: to determine the pooled prevalence and associated factors of malaria among under five children in Ethiopia. Methods: The protocol for this review is registered at PROSPERO with registration number: CRD42020157886. A comprehensive search of the following electronic databases were made using: MEDLINE, EMBASE, CINAHL, Scopus, web science, HINARI, Cochrane library, Google Scholar and maternity & infant care databases as well as grey literature uploaded at Ethiopian Health Development Journal were searched until May 2020. The quality of studies will be assessed using Joanna Briggs Institute (JBI) checklist. All identified observational studies reporting the prevalence of malaria and associated factors among under five children in Ethiopia will be considered. Three reviewers will screen all retrieved articles, conduct data extraction, and then critically appraise all identified studies. The analysis of data will be done using STATA 14.0 statistical software. We will determine the pooled prevalence and determinants of malaria among under five children using random effect model with effect size and 95% confidence interval. Heterogeneity among the included studies will be assessed through the Cochrane Q-test statistics and I2 test. Furthermore, publication bias will be checked using funnel plot and egger’s test. Finally, statistical significance level will be declared at a p-value less than 0.05. Discussion: The result from this systematic review will inform and guide health policy planners and researchers on the burden, and determinants of under five children malaria in Ethiopia. To our knowledge, this is the first systematic review in Ethiopia. We will synthesize the findings to generate up-to-date knowledge on malaria among under five children in Ethiopia.

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Male involvement in family planning use and its determinants in Ethiopia. A systematic review and meta-analysis protocol

10.21203/rs.3.rs-699111/v2 ◽

2021 ◽

Author(s):

Etsay Woldu Anbesu ◽

Setognal Birara Aychiluhm ◽

Znabu Hadush Kahsay

Keyword(s):

Systematic Review ◽

Family Planning ◽

Contraceptive Use ◽

Meta Analysis ◽

Grey Literature ◽

Random Effect ◽

Random Effect Model ◽

Health Indicators ◽

Male Involvement ◽

Pooled Prevalence

Abstract Background The need to include males that required joint spousal decision is critical in achieving key reproductive health indicators. Low involvement of males in family planning use is one of the contributing factors for low contraceptive use in Ethiopia. Despite this, there are inconsistent findings on the prevalence and determinates of males involvement in family planning use in Ethiopia. Thus, this systematic review and meta-analysis aimed to determine the pooled prevalence of mal involvement in family planning use and its determinants in Ethiopia. Methods The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline will be used to develop the protocol. Online databases PubMed, CINAHL, Google Scholar, and unpublished grey literature will be searched to retrieve available articles from April 10-August 11/2021. The two authors will conduct selection of studies, data extraction, and quality assessment. The quality of the studies will be assessed using Joanna Briggs Institute checklist. Chi-squared test and I-squared statistic will be used to examine heterogeneity among studies. Sources of heterogeneity will be investigated using subgroup analyses and meta-regression based on regions and residence (urban and rural). Publication bias will be examined by observation using funnel plots and statistically by Begg’s and Egger’s tests. A random-effect model will be used to estimate the pooled prevalence and its determinants of male involvement in family planning use. Discussion The role of the male in family planning and participation in contraceptive use improves women’s uptake and continuity of family planning use. Though there are studies on male involvement in family planning use, there is no synthesis research findings on the pooled prevalence of male involvement in family planning use and its determinants in Ethiopia. Therefore, the finding from this systematic review and meta-analysis will help the national health sector transformational plane to emphasize the pooled prevalence and its determinants that drive low male involvement in family planning use in Ethiopia.

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Male involvement in family planning use and its determinants in Ethiopia. A systematic review and meta-analysis protocol

10.21203/rs.3.rs-699111/v3 ◽

2021 ◽

Author(s):

Etsay Woldu Anbesu ◽

Setognal Birara Aychiluhm ◽

Znabu Hadush Kahsay

Keyword(s):

Systematic Review ◽

Family Planning ◽

Contraceptive Use ◽

Meta Analysis ◽

Grey Literature ◽

Random Effect ◽

Random Effect Model ◽

Health Indicators ◽

Male Involvement ◽

Pooled Prevalence

Abstract Background The need to include males that required joint spousal decision is critical in achieving key reproductive health indicators. Low involvement of males in family planning use is one of the contributing factors for low contraceptive use in Ethiopia. Despite this, there are inconsistent findings on the prevalence and determinates of males involvement in family planning use in Ethiopia. Thus, this systematic review and meta-analysis aimed to determine the pooled prevalence of mal involvement in family planning use and its determinants in Ethiopia. Methods The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guideline will be used to develop the protocol. Online databases PubMed, CINAHL, Google Scholar, and unpublished grey literature will be searched to retrieve available articles from April 10-August 11/2021. The two authors will conduct selection of studies, data extraction, and quality assessment. The quality of the studies will be assessed using Joanna Briggs Institute checklist. Chi-squared test and I-squared statistic will be used to examine heterogeneity among studies. Sources of heterogeneity will be investigated using subgroup analyses and meta-regression based on regions and residence (urban and rural). Publication bias will be examined by observation using funnel plots and statistically by Begg’s and Egger’s tests. A random-effect model will be used to estimate the pooled prevalence and its determinants of male involvement in family planning use. Discussion The role of the male in family planning and participation in contraceptive use improves women’s uptake and continuity of family planning use. Though there are studies on male involvement in family planning use, there is no synthesis research findings on the pooled prevalence of male involvement in family planning use and its determinants in Ethiopia. Therefore, the finding from this systematic review and meta-analysis will help the national health sector transformational plane to emphasize the pooled prevalence and its determinants that drive low male involvement in family planning use in Ethiopia.

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Prevalence of home delivery and associated factors in Ethiopia: A systematic review and meta-analysis

10.21203/rs.3.rs-32343/v1 ◽

2020 ◽

Author(s):

Asteray Assmie Ayenew ◽

Azezu Nigussie ◽

Biruk Zewdu

Keyword(s):

Systematic Review ◽

Health Facility ◽

Associated Factors ◽

Meta Analysis ◽

Random Effect ◽

Home Delivery ◽

Cochrane Library ◽

Danger Sign ◽

Media Access ◽

Pooled Prevalence

Abstract BackgroundGlobally, maternal morbidity and mortality remained a major public health challenge. Delivering at home is associated with a higher risk of maternal deaths. Findings on the prevalence and associated factors of home delivery are highly variable and inconsistent across Ethiopia. Therefore, the aim of this systematic review and meta-analysis was to estimate the pooled prevalence of home delivery and its associated factors in Ethiopia.MethodPreferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was followed. The databases used were; PubMed, Google Scholar, Cochrane Library, African Journals Online, Ethiopian's university research repository online library, and manual searching. The search was further limited to studies conducted in Ethiopia and reported in English. Two authors independently extracted all necessary data using a standardized data extraction format. STATA 11 software was used to analyze the data. The Cochrane Q and I2 test were used to assess the heterogeneity of studies. The pooled estimate prevalence and the odds ratios with 95% confidence intervals were computed by a random effect model.ResultA total of 13 studies were included in this meta-analysis with a sample size of 13,535. The national pooled prevalence of home delivery was 48.53 % (95% CI:35, 62). The pooled adjusted odds ratio (AOR) of home delivery for Place of rural residence was 4.3(AOR = 4.3; 95% CI 2.7, 6.8), husband preference was 5(AOR=5.1 95%CI:1.1, 22), not having ANC follows up was 3.3(AOR= 3.3,95%CI:2,6), Women who cannot read & write was 4(AOR=4.36,95% CI:3.1, 6.12), Primary level was 4(AOR=4.21, 95%CI:1.5, 11.6) ,and secondary & above was 1.9(AOR=1.9,95%CI:1.1, 3.45), distance from the health facility was 7(AOR= 7.33, 95%CI:5.75, 9.35), age of mothers 15-24 was 4(AOR =3.7,95%CI:2, 6.6), knowledge of danger sign of pregnancy was 4(AOR=4.60 95%CI:3, 6.8), and no media access was 3.4(AOR=3.495%CI: 1.5, 7.5).ConclusionThis systematic review and meta-analysis showed that home delivery was high in Ethiopia. Place of residence, husband preference, no having ANC follows up, educational status of mothers, distance from health facility, age of mothers, knowledge of danger sign of pregnancy, and no media access increased the risk of home delivery.

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Prevalence of Spina Bifida among Newborns in Africa: A Systematic Review and Meta-Analysis

Scientifica ◽

10.1155/2020/4273510 ◽

2020 ◽

Vol 2020 ◽

pp. 1-12

Author(s):

Mohammed Oumer ◽

Molla Taye ◽

Hailu Aragie ◽

Ashenafi Tazebew

Keyword(s):

Systematic Review ◽

Spina Bifida ◽

Meta Analysis ◽

Random Effect ◽

Random Effect Model ◽

Fetal Loss ◽

Cochrane Library ◽

Forest Plot ◽

Birth Prevalence ◽

Pooled Prevalence

Spina bifida is an abnormal closure of the neural tube during the fourth week of development. It is the major cause of fetal loss and considerable disabilities in newborns. The aim of this review is to determine the pooled prevalence of spina bifida among newborns in Africa. PubMed/Medline, Google Scholar, Science Direct, Joanna Briggs Institute (JBI) Library, Cochrane Library, Web of Science, African Journals Online, and Embase databases were systematically searched. Cochran Q test and I2 test statistics were applied to assess heterogeneity across studies. A random-effect model was applied to calculate the pooled prevalence of spina bifida. Forest plot and Galbraith’s plot were used to visualize heterogeneity. Subgroup, sensitivity, meta-regression, and meta-cumulative analyses were performed. All essential data were extracted using a standardized data extraction format, and the JBI quality appraisal checklist was used to assess the quality of studies. Egger’s test and Begg’s test were used in order to detect the publication bias. In the present systematic review and meta-analysis, 6,587,298 births in twenty-seven studies were included. The pooled birth prevalence of spina bifida in Africa was 0.13% with a range between 0.12% and 0.14%. In Africa, the highest burden of spina bifida was detected in Algeria (0.43%), Ethiopia (0.32%), Tanzania (0.26%), Cameron (0.12%), Egypt (0.10%), and South Africa (0.10%). The lowest burden of spina bifida was detected in Libya (0.006%) and Tunisia (0.009%). The high birth prevalence of spina bifida was detected in Africa. There was a significant variation in the prevalence of spina bifida among study countries in Africa. The authors recommend that special awareness creation with the help of health education intervention should be provided for mothers to focus on prevention in order to reduce the burden of spina bifida.

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Premarital sexual practice and its associated factors in Ethiopia. A systematic review and meta-analysis

10.21203/rs.2.15254/v1 ◽

2019 ◽

Author(s):

Temesgen Getaneh ◽

Ayenew Negesse ◽

Jemberu Chane

Keyword(s):

Associated Factors ◽

Meta Analysis ◽

National Level ◽

Random Effect Model ◽

Local Context ◽

Cochrane Library ◽

Human Immune Deficiency Virus ◽

Sexual Practice ◽

Pooled Prevalence ◽

Premarital Sexual

Abstract Background Globally, large numbers of adolescents engage in premarital sexual practice. Youths who begin early sexual activity are more likely to be exposed for high-risk of having multiple sexual partners, infection with Human Immune Deficiency Virus (HIV) and other sexual transmitted diseases. There are pocket studies which reported meager and fragmented evidences across different parts of Ethiopia related with this issue, hence the aim of this review was also to estimate those meager evidences and come up with concrete information at the national level.Methods articles were retrived through search engines such as: PubMed/MEDLINE, EMBASE, CINAHL, Google Scholar, HINARI portal, and Cochrane Library using the preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) guidelines. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) was used for critical appraisal of the included articles. Random effect model analysis technique was considered to estimate the pooled prevalence of premarital sexual practice with their respective odds ratio (OR) and 95% confidence interval (CI). Cochran’s Q statistic, Egger’s and Begg’s test and meta regression were carried out to assess heterogeneity, publication bias and to identify associated factors respectively.Results Exactly 24 articles with total sample size 14,872 individuals were included for this review. The pooled estimate of premarital sexual practice at the national level was 30.98% (95% CI: 26.74, 35.21). Being female sex (OR=1.55: 95% CI; 1.01, 2.37), age >18yrs (OR=2.39: 95% CI; 1.29, 4.42), being alcohol abuser with (OR=3.47; 95% CI; 1.94, 6.19) and exposed to pornography (OR=3.24:95% CI; 1.95, 5.38) were the associated factors of premarital sexual practice in Ethiopia.Conclusion The pooled prevalence of premarital sexual practice in Ethiopia was high in comparison with other countries. So that it is the strong recommendations of the authors’ to provide an integrated youth’s reproductive and sexual health services on the local context to decrease their exposure for premarital sexual practices and its negative impact on future life opportunities. Keywords: Pooled; Premarital; Sexual; Practice; Prevalence; Ethiopia .

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