Department of Midwifery, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Reprod Health. 2021 Apr 15;18(1):78. doi: 10.1186/s12978-021-01132-9.
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.
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. I tests assessed heterogeneity between the studies. A random-effect model was used to forecast the pooled knowledge and utilisation of preconception care.
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.
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.
孕前保健是指在女性和夫妇受孕前提供生物医学、行为和社会健康干预措施。然而，在埃塞俄比亚，人们对此知之甚少，也很少实践。因此，本研究旨在使用系统评价和荟萃分析评估埃塞俄比亚妇女对孕前保健的知识和利用情况及其相关因素。
在目前的荟萃分析中，从不同的电子数据库系统中搜索变量，包括 PubMed、Google Scholar、EMBASE、HINAR、Scopus、Web of Sciences 和灰色文献。使用标准化数据收集测量工具提取数据。使用 STATA 14 统计软件分析数据。I 检验评估了研究之间的异质性。使用随机效应模型预测孕前保健知识和利用的汇总率。
纳入了 13 篇全文研究。埃塞俄比亚妇女对孕前保健的知识和利用的综合患病率分别为 30.95%和 16.27%。中等教育（OR=2.78，95%CI，2.01-3.85）、高等教育（OR=5.05，95%CI，2.70-9.44）和产前保健（OR=3.89，95%CI，1.69-8.98）与知识水平显著相关，而年龄（OR=2.43，95%CI，1.30-4.53）和对孕前保健的知识（OR=3.95，95%CI，2.35-6.62）与孕前保健的利用呈正相关。
妇女对孕前保健的知识和利用水平显著较低。教育程度和产前保健随访是影响孕前保健知识的因素。年龄和对孕前保健有充分的了解表明与孕前保健的利用有显著的相关性。因此，在设计有效的实施策略以提高孕前保健的利用率时，将整合能够解决所有孕前保健服务内容的孕前保健策略和政策与其他母婴健康服务结合起来是至关重要的。此外，倡导妇女接受更好的教育、提高认识和增加产前保健服务也是必要的。PROSPERO 注册号：CRD42020218062。
