Preconception care in sub-Saharan Africa: A systematic review and meta-analysis on the prevalence and its correlation with knowledge level among women in the reproductive age group
Objective: Preconception care is aimed to promote optimal health in women before conception to reduce or prevent poor pregnancy outcomes. Although there are several published primary studies from sub-Saharan African countries on preconception care, they need to quantify the extent of preconception c...
| Main Authors: | , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-02-01
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| Series: | SAGE Open Medicine |
| Online Access: | https://doi.org/10.1177/20503121231153511 |
| _version_ | 1811164562902220800 |
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| author | Demelash Woldeyohannes Yohannes Tekalegn Biniyam Sahiledengle Zeleke Hailemariam Desta Erkalo Abraham Zegeye Habtamu Tamrat Akililu Habte Aiggan Tamene Fitsum Endale Biruk Ertiban Tekle Ejajo Lolamo Kelbiso Lombamo Liranso Fikreab Desta Dejene Ermias Lillian Mwanri Joanne C. Enticott |
| author_facet | Demelash Woldeyohannes Yohannes Tekalegn Biniyam Sahiledengle Zeleke Hailemariam Desta Erkalo Abraham Zegeye Habtamu Tamrat Akililu Habte Aiggan Tamene Fitsum Endale Biruk Ertiban Tekle Ejajo Lolamo Kelbiso Lombamo Liranso Fikreab Desta Dejene Ermias Lillian Mwanri Joanne C. Enticott |
| author_sort | Demelash Woldeyohannes |
| collection | DOAJ |
| description | Objective: Preconception care is aimed to promote optimal health in women before conception to reduce or prevent poor pregnancy outcomes. Although there are several published primary studies from sub-Saharan African countries on preconception care, they need to quantify the extent of preconception care utilization, the knowledge level about preconception care, and the association among women in the reproductive age group in this region. This systematic review and meta-analysis aimed to estimate the pooled utilization of preconception care, pooled knowledge level about preconception care, and their association among women in the reproductive age group in sub-Saharan Africa. Methods: Databases including PubMed, Science Direct, Hinari, Google Scholar, and Cochrane library were systematically searched for relevant literature. Additionally, the references of included articles were checked for additional possible sources. The Cochrane Q test statistics and I 2 tests were used to assess the heterogeneity of the included studies. A random-effect meta-analysis model was used to estimate the pooled prevalence of preconception care, knowledge level of preconception care, and their correlation among reproductive-aged women in sub-Saharan African countries. Results: Of the identified 1593 articles, 20 studies were included in the final analysis. The pooled utilization of preconception care and good knowledge level about preconception care among women of reproductive age were found to be 24.05% (95% confidence interval: 16.61, 31.49) and 33.27% (95% confidence interval: 24.78, 41.77), respectively. Women in the reproductive age group with good knowledge levels were greater than two times more likely to utilize the preconception care than the women with poor knowledge levels in sub-Saharan African countries (odds ratio: 2.35, 95% confidence interval: 1.16, 4.76). Conclusion: In sub-Saharan African countries, the utilization of preconception care and knowledge toward preconception care were low. Additionally, the current meta-analysis found good knowledge level to be significantly associated with the utilization of preconception care among women of reproductive age. These findings indicate that it is imperative to launch programs to improve the knowledge level about preconception care utilization among women in the reproductive age group in sub-Saharan African countries. |
| first_indexed | 2024-04-10T15:23:29Z |
| format | Article |
| id | doaj.art-33d380738b824531868fbc5302958dbe |
| institution | Directory Open Access Journal |
| issn | 2050-3121 |
| language | English |
| last_indexed | 2024-04-10T15:23:29Z |
| publishDate | 2023-02-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medicine |
| spelling | doaj.art-33d380738b824531868fbc5302958dbe2023-02-14T11:03:55ZengSAGE PublishingSAGE Open Medicine2050-31212023-02-011110.1177/20503121231153511Preconception care in sub-Saharan Africa: A systematic review and meta-analysis on the prevalence and its correlation with knowledge level among women in the reproductive age groupDemelash Woldeyohannes0Yohannes Tekalegn1Biniyam Sahiledengle2Zeleke Hailemariam3Desta Erkalo4Abraham Zegeye5Habtamu Tamrat6Akililu Habte7Aiggan Tamene8Fitsum Endale9Biruk Ertiban10Tekle Ejajo11Lolamo Kelbiso12Lombamo Liranso13Fikreab Desta14Dejene Ermias15Lillian Mwanri16Joanne C. Enticott17Monash Centre for Health Research and Implementation (MCHRI), School of Public Health and Preventive Medicine, Monash University, Clayton, VIC, Melbourne, AustraliaDepartment of Public Health, College Health Science, Madda Walabu University, Robe, EthiopiaDepartment of Public Health, College Health Science, Madda Walabu University, Robe, EthiopiaDepartment of Public Health, College of Medicine and Health Science, Arba Minch University, Arba Minch, EthiopiaSchool of Public Health, College of Medicine and Health Science, Wachemo University, Hosaena, EthiopiaDepartment of Surgery, College of Medicine and Health Science, Wachemo University, Hosaena, EthiopiaDepartment of Orthopedic Surgery, College of Medicine and Health Science, Wachemo University, Hosaena, EthiopiaSchool of Public Health, College of Medicine and Health Science, Wachemo University, Hosaena, EthiopiaSchool of Public Health, College of Medicine and Health Science, Wachemo University, Hosaena, EthiopiaSchool of Public Health, College of Medicine and Health Science, Wachemo University, Hosaena, EthiopiaDepartment of Surgery, College of Medicine and Health Science, Wachemo University, Hosaena, EthiopiaSchool of Public Health, College of Medicine and Health Science, Wachemo University, Hosaena, EthiopiaSchool of Nursing, College of Medicine and Health Science, Wachemo University, Hosaena, EthiopiaDepartment of Obstetrics and Gynecology, College of Medicine and Health Science, Wachemo University, Hosaena, EthiopiaSchool of Public Health, College of Medicine and Health Science, Wachemo University, Hosaena, EthiopiaSchool of Public Health, College of Medicine and Health Science, Wachemo University, Hosaena, EthiopiaCollege of Medicine and Public Health, Flinders University, Adelaide, SA, AustraliaMonash Centre for Health Research and Implementation (MCHRI), School of Public Health and Preventive Medicine, Monash University, Clayton, VIC, Melbourne, AustraliaObjective: Preconception care is aimed to promote optimal health in women before conception to reduce or prevent poor pregnancy outcomes. Although there are several published primary studies from sub-Saharan African countries on preconception care, they need to quantify the extent of preconception care utilization, the knowledge level about preconception care, and the association among women in the reproductive age group in this region. This systematic review and meta-analysis aimed to estimate the pooled utilization of preconception care, pooled knowledge level about preconception care, and their association among women in the reproductive age group in sub-Saharan Africa. Methods: Databases including PubMed, Science Direct, Hinari, Google Scholar, and Cochrane library were systematically searched for relevant literature. Additionally, the references of included articles were checked for additional possible sources. The Cochrane Q test statistics and I 2 tests were used to assess the heterogeneity of the included studies. A random-effect meta-analysis model was used to estimate the pooled prevalence of preconception care, knowledge level of preconception care, and their correlation among reproductive-aged women in sub-Saharan African countries. Results: Of the identified 1593 articles, 20 studies were included in the final analysis. The pooled utilization of preconception care and good knowledge level about preconception care among women of reproductive age were found to be 24.05% (95% confidence interval: 16.61, 31.49) and 33.27% (95% confidence interval: 24.78, 41.77), respectively. Women in the reproductive age group with good knowledge levels were greater than two times more likely to utilize the preconception care than the women with poor knowledge levels in sub-Saharan African countries (odds ratio: 2.35, 95% confidence interval: 1.16, 4.76). Conclusion: In sub-Saharan African countries, the utilization of preconception care and knowledge toward preconception care were low. Additionally, the current meta-analysis found good knowledge level to be significantly associated with the utilization of preconception care among women of reproductive age. These findings indicate that it is imperative to launch programs to improve the knowledge level about preconception care utilization among women in the reproductive age group in sub-Saharan African countries.https://doi.org/10.1177/20503121231153511 |
| spellingShingle | Demelash Woldeyohannes Yohannes Tekalegn Biniyam Sahiledengle Zeleke Hailemariam Desta Erkalo Abraham Zegeye Habtamu Tamrat Akililu Habte Aiggan Tamene Fitsum Endale Biruk Ertiban Tekle Ejajo Lolamo Kelbiso Lombamo Liranso Fikreab Desta Dejene Ermias Lillian Mwanri Joanne C. Enticott Preconception care in sub-Saharan Africa: A systematic review and meta-analysis on the prevalence and its correlation with knowledge level among women in the reproductive age group SAGE Open Medicine |
| title | Preconception care in sub-Saharan Africa: A systematic review and meta-analysis on the prevalence and its correlation with knowledge level among women in the reproductive age group |
| title_full | Preconception care in sub-Saharan Africa: A systematic review and meta-analysis on the prevalence and its correlation with knowledge level among women in the reproductive age group |
| title_fullStr | Preconception care in sub-Saharan Africa: A systematic review and meta-analysis on the prevalence and its correlation with knowledge level among women in the reproductive age group |
| title_full_unstemmed | Preconception care in sub-Saharan Africa: A systematic review and meta-analysis on the prevalence and its correlation with knowledge level among women in the reproductive age group |
| title_short | Preconception care in sub-Saharan Africa: A systematic review and meta-analysis on the prevalence and its correlation with knowledge level among women in the reproductive age group |
| title_sort | preconception care in sub saharan africa a systematic review and meta analysis on the prevalence and its correlation with knowledge level among women in the reproductive age group |
| url | https://doi.org/10.1177/20503121231153511 |
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