埃塞俄比亚新冠疫情爆发后充分利用产前护理服务的情况：一项系统评价与荟萃分析
Adequate antenatal care service utilizations after the onset of COVID-19 pandemic in Ethiopia: a systematic review and meta-analysis.
作者信息
Wondmeneh Temesgen Gebeyehu, Solomon Tadesse Zelalem
机构信息
Department of Public Health, College of Medical and Health Science, Samara University, Semera, Ethiopia.
Department of Management, College of Business and Economics, Samara University, Semera, Ethiopia.
出版信息
Front Public Health. 2024 Nov 15;12:1395190. doi: 10.3389/fpubh.2024.1395190. eCollection 2024.
BACKGROUND
The world faces great difficulty in continuing to provide essential maternity health care after the onset of COVID-19 pandemic Many women have trouble accessing maternity healthcare due to fear of infection. A decline in the utilization of maternity health services is suggested to worsen adequate antenatal care service utilization. Thus, this study aimed to determine the pooled estimate of adequate antenatal care service utilization after the onset of COVID-19 in Ethiopia.
METHODS
The searching of articles was carried out on Web of Science, Scopus, PubMed, CINHAL, Google Scholar, African journals online, and the institutional repository of Ethiopian universities. Using a Microsoft Excel standardized spreadsheet, the data were extracted. A random effect model was used to determine a pooled estimate of adequate antenatal care utilization. statistics were used to quantify the amount of heterogeneity. The evidence of publication bias was examined using Egger's regression test and a visual inspection of the funnel plot. Subgroup and sensitivity analyses were also carried out.
RESULTS
Finally, this systematic review and meta-analysis included 11 eligible articles. The overall pooled estimate of adequate antenatal care service utilization after the onset of COVID-19 pandemic in Ethiopia was 46.28% (95% CI: 35.32%-57.26%). There is a substantial amount of heterogeneity between studies ( = 99.07%, < 0.001). Pregnant women who visited antenatal care early were 10.9 times more likely to have adequate antenatal care utilization than those without early visits (AOR = 10.93, 95% CI: 7.2-14.66).
CONCLUSION
In this review, the percentage of women who utilized adequate antenatal care after the onset of COVID-19 pandemic in Ethiopia was less than half. Early antenatal care visit is an important factor to achieve adequate antenatal care service utilizations.
SYSTEMATIC REVIEW REGISTRATION
: CRD42023495279.
背景
在新冠疫情爆发后，全球在持续提供基本的孕产妇保健服务方面面临巨大困难。许多妇女因担心感染而难以获得孕产妇保健服务。孕产妇保健服务利用率的下降被认为会使充分的产前保健服务利用率恶化。因此，本研究旨在确定埃塞俄比亚新冠疫情爆发后充分的产前保健服务利用率的合并估计值。
方法
在科学网、Scopus、PubMed、CINHAL、谷歌学术、非洲在线期刊以及埃塞俄比亚大学的机构知识库中搜索文章。使用微软Excel标准化电子表格提取数据。采用随机效应模型来确定充分的产前保健利用率的合并估计值。运用统计学方法量化异质性的程度。使用Egger回归检验和漏斗图的可视化检查来检验发表偏倚的证据。还进行了亚组分析和敏感性分析。
结果
最终，这项系统评价和荟萃分析纳入了11篇符合条件的文章。埃塞俄比亚新冠疫情爆发后充分的产前保健服务利用率的总体合并估计值为46.28%（95%置信区间：35.32%-57.26%）。研究之间存在大量异质性（I² = 99.07%，P < 0.001）。早期进行产前检查的孕妇获得充分产前保健服务的可能性是未早期就诊孕妇的10.9倍（调整后比值比 = 10.93，95%置信区间：7.2-14.66）。
结论
在本综述中，埃塞俄比亚新冠疫情爆发后利用充分产前保健服务的妇女比例不到一半。早期产前检查是实现充分产前保健服务利用的一个重要因素。
系统评价注册
CRD42023495279
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