College of Health Sciences, Debre Markos University, P.O.BOX: 269, Debre Markos, Ethiopia.
College of Health Sciences, Kotebe Metro Politan University, Addis Ababa, Ethiopia.
Sci Rep. 2021 May 25;11(1):10909. doi: 10.1038/s41598-021-89819-8.
Preconception care (PCC) increases the chance of couple's being healthy and having a healthier baby. It is an important strategy to prevent maternal and perinatal complications. The level of knowledge on preconception care increases its uptake. It is also considered as an input for further intervention of reduction in maternal and neonatal mortality enabling progress towards sustainable development goals (SDGs). Therefore, this systematic review and meta-analysis aimed to estimate the pooled knowledge level of PCC and its association with family planning usage among women in Ethiopia. All observational studies regardless of publication status were retrieved. Important search terms were used to search articles in Google scholar, African Journals Online, CINHAL, HINARI, Science Direct, Cochrane Library, EMBASE, and PubMed/Medline. Independent critical appraisal of retrieved studies was done using the Newcastle-Ottawa assessment checklist. The meta-analysis was conducted using STATA version 14 software. The I statistics were used to test heterogeneity, whereas publication bias was assessed by Begg's and Egger's tests. The results of the meta-analysis were explained in the Odds ratio (OR) with a 95% confidence interval (CI) and presented using forest plots. A total of seven articles were included in the current systematic review and meta-analysis. Based on the data retrieved from the articles, 35.7% of women in Ethiopia had good knowledge about preconception care. The subgroup analysis based on region revealed the lowest (22.34%) and highest (45.06%) percentage of good knowledge on preconception care among women who were living in Amhara and Oromia regions, respectively. Moreover, women who utilized family planning services were three and more times (OR 3.65 (95% CI 2.11, 6.31)) more likely to have a good level of knowledge about preconception care. One-third of Ethiopian women had good knowledge about preconception care. Family planning utilization had a positive impact on women's knowledge of preconception care.
孕前保健 (PCC) 增加了夫妻双方健康和生育更健康婴儿的机会。它是预防母婴围产期并发症的重要策略。孕前保健知识水平的提高增加了其接受度。它也被认为是进一步干预降低母婴死亡率的投入，使可持续发展目标 (SDGs) 取得进展。因此，本系统评价和荟萃分析旨在估计埃塞俄比亚妇女对孕前保健的综合知识水平及其与计划生育使用的相关性。检索了所有无论发表状态如何的观察性研究。使用重要的搜索词在 Google 学术、非洲期刊在线、CINHAL、HINARI、Science Direct、Cochrane 图书馆、EMBASE 和 PubMed/Medline 中搜索文章。使用 Newcastle-Ottawa 评估检查表对检索到的研究进行独立的批判性评估。使用 STATA 版本 14 软件进行荟萃分析。使用 I 统计量检验异质性，而通过 Begg 和 Egger 检验评估发表偏倚。使用森林图以优势比 (OR) 表示 95%置信区间 (CI) 并解释荟萃分析的结果。本系统评价和荟萃分析共纳入 7 篇文章。根据从文章中检索到的数据，埃塞俄比亚 35.7%的妇女对孕前保健有较好的认识。基于地区的亚组分析显示，生活在阿姆哈拉和奥罗米亚地区的妇女对孕前保健的认识程度最低（22.34%）和最高（45.06%）。此外，利用计划生育服务的妇女有三到更多倍（OR 3.65（95% CI 2.11,6.31））更有可能对孕前保健有较好的认识。三分之一的埃塞俄比亚妇女对孕前保健有较好的认识。计划生育的利用对妇女对孕前保健的知识有积极影响。
