Woldeyohannes Demelash, Tekalegn Yohannes, Sahiledengle Biniyam, Hailemariam Zeleke, Erkalo Desta, Zegeye Abraham, Tamrat Habtamu, Habte Akililu, Tamene Aiggan, Endale Fitsum, Ertiban Biruk, Ejajo Tekle, Kelbiso Lolamo, Liranso Lombamo, Desta Fikreab, Ermias Dejene, Mwanri Lillian, Enticott Joanne C
School of Public Health, College of Medicine and Health Science, Wachemo University, Hosaena, Ethiopia.
Monash Centre for Health Research and Implementation (MCHRI), School of Public Health and Preventive Medicine, Monash University, Clayton, VIC, Melbourne, Australia.
SAGE Open Med. 2023 Feb 13;11:20503121231153511. doi: 10.1177/20503121231153511. eCollection 2023.
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.
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 test statistics and 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.
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).
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.
孕前保健旨在促进女性在受孕前的最佳健康状态，以减少或预防不良妊娠结局。尽管撒哈拉以南非洲国家已发表了多项关于孕前保健的初步研究，但这些研究需要对孕前保健的利用程度、对孕前保健的知识水平以及该地区育龄妇女群体之间的关联进行量化。本系统评价和荟萃分析旨在估计撒哈拉以南非洲育龄妇女孕前保健的综合利用率、孕前保健的综合知识水平及其之间的关联。
系统检索包括PubMed、Science Direct、Hinari、谷歌学术和Cochrane图书馆在内的数据库，以获取相关文献。此外，还检查了纳入文章的参考文献，以寻找其他可能的来源。采用Cochrane检验统计量和 检验来评估纳入研究的异质性。采用随机效应荟萃分析模型来估计撒哈拉以南非洲国家育龄妇女孕前保健的综合患病率、孕前保健的知识水平及其相关性。
在识别出的1593篇文章中，最终分析纳入了20项研究。发现育龄妇女孕前保健的综合利用率和对孕前保健的良好知识水平分别为24.05%（95%置信区间：16.61，31.49）和33.27%（95%置信区间：24.78，41.77）。在撒哈拉以南非洲国家，知识水平良好的育龄妇女利用孕前保健的可能性比知识水平较差的妇女高出两倍多（优势比：2.35，95%置信区间：第一组1.16，4.76）。
在撒哈拉以南非洲国家，孕前保健的利用率和对孕前保健的知识水平较低。此外，当前的荟萃分析发现，良好的知识水平与育龄妇女孕前保健的利用率显著相关。这些发现表明，在撒哈拉以南非洲国家，开展提高育龄妇女对孕前保健利用的知识水平的项目势在必行。
