School of Midwifery, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Department of Public Health, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia.
BMC Pregnancy Childbirth. 2024 Nov 27;24(1):791. doi: 10.1186/s12884-024-06913-1.
The use of Clean Delivery Kits (CDKs) promotes healthy birth outcome. Nevertheless, representative data are lacking for low- and middle-income countries. Thus, study aimed at determining the overall estimate of clean delivery kit use among low and middle income countries.
A comprehensive review of the Science Direct, Scopus, Google Scholar, EMBASE, and PubMed databases was part of the current investigation. Microsoft Excel (version 14) was used to extract the data, and STATA statistical software was used for analysis. The presence of publication bias was assessed using DOI Plots in the study. By calculating I and doing an overall estimation analysis, heterogeneity was evaluated. Furthermore, a subgroup analysis was carried out according to the sample size, publication year, and study design.
Out of 654 articles, 12 met the inclusion criteria and were included in the analysis, covering 19,889 study participants. In low- and middle-income countries, the pooled proportion of clean delivery kits use was 54% (95%CI: 31. 60, 76.82, I = 70%). Notably, the cross-sectional study revealed the lowest incidence of delivery kit use, with a proportion of 54.29%, while the cohort study revealed the highest proportion, at 72.37%. In studies with sample sizes < 500, clean delivery kit use was higher (60.28%) compared to studies with sample sizes > 500 (45.75%). Lastly, the proportion of clean delivery kits was found to be 62.53% for studies published after 2010, compared to 48.25% for studies published before 2010.
In summary, the proportion of clean delivery kits use was 54%. Healthcare systems should focus on different strategies to improve clean delivery kit use.
使用清洁分娩套件（CDK）可促进健康的分娩结果。然而，代表性数据在中低收入国家仍然缺乏。因此，本研究旨在确定中低收入国家清洁分娩套件使用的总体估计数。
本研究全面审查了科学直接、Scopus、Google Scholar、EMBASE 和 PubMed 数据库。使用 Microsoft Excel（版本 14）提取数据，并使用 STATA 统计软件进行分析。使用研究中的 DOI 图评估存在的发表偏倚。通过计算 I 值并进行总体估计分析来评估异质性。此外，还根据样本量、发表年份和研究设计进行了亚组分析。
在 654 篇文章中，有 12 篇符合纳入标准并纳入分析，共纳入 19889 名研究参与者。在中低收入国家，清洁分娩套件使用率的合并比例为 54%（95%CI：31.60，76.82，I=70%）。值得注意的是，横断面研究显示分娩套件使用率最低，为 54.29%，而队列研究显示使用率最高，为 72.37%。在样本量<500 的研究中，清洁分娩套件使用率较高（60.28%），而在样本量>500 的研究中，清洁分娩套件使用率较低（45.75%）。最后，发现 2010 年后发表的研究中清洁分娩套件的比例为 62.53%，而 2010 年前发表的研究中清洁分娩套件的比例为 48.25%。
总的来说，清洁分娩套件的使用率为 54%。医疗保健系统应关注不同的策略，以提高清洁分娩套件的使用率。
