Continuum of maternal healthcare services utilization and its associated factors in Ethiopia: A systematic review and meta-analysis

IF 2.7 Q2 OBSTETRICS & GYNECOLOGY

Womens Health Pub Date : 2022-01-01 DOI:10.1177/17455057221091732

Dagne Addisu, Maru Mekie, A. Melkie, H. Abie, Enyew Dagnew, M. bezie, Alemu Degu, Shimeles Biru, E. Chanie

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引用次数: 5

Abstract

The continuum of care throughout pregnancy, childbirth, and postnatal period is one of the vital strategies for improving maternal and neonatal health and preventing maternal and neonatal mortalities and morbidities. The level and determinants of the complete continuum of care for maternal health services reported by different studies were extremely varied in Ethiopia. Therefore, this meta-analysis aimed to estimate the overall prevalence of a complete continuum of maternal health care services utilization and its associated factors in Ethiopia. Databases such as PubMed/MEDLINE, Science Direct, DOJA, African journals online, Cochrane library, Google scholar, web of science, and Ethiopian universities’ institutional repository were used to search for relevant studies. A total of seven studies with 4854 study participants were involved in this study. Data were extracted by two reviewers and exported to STATA Version 11 for analysis. The I2 statistics and Egger’s test were used to assess heterogeneity and publication bias, respectively. The random-effects random effects model was used to estimate the level of complete continuum of care for maternal health services. The pooled prevalence of complete continuum of maternal healthcare services utilization was 25.51%. Employed mothers (OR = 3.16, 95%CI = 1.82, 5.47), first antenatal ante natal care visit before 16 weeks (OR = 7.53, 95% CI = 2.94, 19.29), birth preparedness and complication readiness plan (OR = 1.95, 95% CI = 1.12, 3.41), secondary and above educational status (OR = 2.97, 95% CI = 2.00, 4.41), planned pregnancy (OR = 6.86, 95% CI = 3.47, 13.58) and autonomy (OR = 3.73, 95% CI = 2.24–6.23) were significantly associated with continuum of maternal healthcare services utilization. In conclusion, the national level of complete continuum of maternal healthcare service utilization was low in Ethiopia. Being employed mothers, first ante natal care visit before 16 weeks, birth preparedness and complication readiness plan, secondary and above educational status, autonomy, and planned pregnancy were the major determinants of continuum of maternal healthcare services utilization.

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连续的孕产妇保健服务的利用及其相关因素在埃塞俄比亚:一个系统的回顾和荟萃分析

在怀孕、分娩和产后期间持续提供护理是改善孕产妇和新生儿健康以及预防孕产妇和新生儿死亡和疾病的重要战略之一。埃塞俄比亚不同研究报告的孕产妇保健服务完整连续性的水平和决定因素差异很大。因此，这项荟萃分析旨在估计埃塞俄比亚孕产妇保健服务利用的整体流行率及其相关因素。PubMed/MEDLINE、Science Direct、DOJA、非洲在线期刊、Cochrane图书馆、谷歌学者、科学网和埃塞俄比亚大学的机构知识库等数据库用于搜索相关研究。共有7项研究涉及4854名研究参与者。数据由两名评审员提取，并导出到STATA版本11进行分析。I2统计和Egger检验分别用于评估异质性和发表偏倚。随机效应-随机效应模型用于估计孕产妇保健服务的完整连续护理水平。孕产妇保健服务利用完全连续性的合并患病率为25.51% = 3.16,95%CI = 1.82，5.47），16周前第一次产前产前护理就诊（OR = 7.53,95%CI = 2.94，19.29）、分娩准备和并发症准备计划（OR = 1.95，95%CI = 1.12、3.41）、中等及以上教育程度（OR = 2.97,95%CI = 2.00，4.41），计划怀孕（OR = 6.86,95%CI = 3.47、13.58）和自主性（OR = 3.73,95%CI = 2.24–6.23）与孕产妇保健服务利用的连续性显著相关。总之，埃塞俄比亚产妇保健服务利用的完整连续性国家水平较低。作为在职母亲，16周前的第一次产前护理就诊、分娩准备和并发症准备计划、中等及以上教育地位、自主性和计划妊娠是孕产妇保健服务连续使用的主要决定因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Womens Health OBSTETRICS & GYNECOLOGY-

CiteScore

2.80

自引率

4.20%

发文量

审稿时长

15 weeks

期刊介绍： For many diseases, women’s physiology and life-cycle hormonal changes demand important consideration when determining healthcare management options. Age- and gender-related factors can directly affect treatment outcomes, and differences between the clinical management of, say, an adolescent female and that in a pre- or postmenopausal patient may be either subtle or profound. At the same time, there are certain conditions that are far more prevalent in women than men, and these may require special attention. Furthermore, in an increasingly aged population in which women demonstrate a greater life-expectancy.