埃塞俄比亚医疗服务提供者孕前保健知识的影响因素：一项系统评价与荟萃分析
Determinants of knowledge of preconception care among healthcare providers in Ethiopia: a systematic review and meta-analysis.
作者信息
Tilahun Befkad Derese, Ayele Mulat, Alamaw Addis Wondmagegn, Kitaw Tegene Atamenta, Lake Eyob Shitie, Abate Biruk Beletew, Yilak Gizachew, Amena Nimona
机构信息
Department of Nursing, College of Health science, Woldia University, Woldia, Ethiopia
Department of Midwifery, College of science, Woldia University, Woldia, Ethiopia.
出版信息
BMJ Open. 2025 Jan 8;15(1):e085834. doi: 10.1136/bmjopen-2024-085834.
OBJECTIVE
To assess the determinants of knowledge of preconception care (PCC) among healthcare providers in Ethiopia.
DESIGN
Systematic review and meta-analysis.
DATA SOURCE
Comprehensive literature searches were conducted in PubMed, Scopus and Health Internetwork Access to Research Initiative (HINARI) published until 20 March 2024.
ELIGIBILITY CRITERIA FOR SELECTING STUDIES
Primary studies that reported the prevalence, determinants or associated factors were included.
DATA EXTRACTION AND ANALYSIS
Three authors extracted all the relevant data using a standardised Joanna Briggs Institute data extraction format. Meta-analysis was done using a random-effects model. A funnel plot and Egger's test were done to assess publication bias, which was corrected by trim and fill analysis.
RESULT
Out of 102 studies, the final analysis included six studies involving 2758 healthcare providers. The pooled knowledge of PCC among healthcare providers in Ethiopia was determined to be 51.43% (Adjusted OR), with a 95% CI ranging from 41.21% to 61.65%. Several factors were identified as determinants of healthcare providers' knowledge based on the pooled estimate. These factors include having an educational qualification above a BSc degree (OR=2.36, 95% CI 1.46, 3.08), the presence of guidelines in their institution (OR=2.07, 95% CI 1.37, 2.77), working in hospitals (OR=2.68, 95% CI 1.83, 3.53) and receiving training on PCC and related topics (OR=4.05, 95% CI 2.52, 5.59).
CONCLUSION
Healthcare professionals exhibited limited knowledge of PCC in Ethiopia. Key elements influencing their comprehension encompass advanced educational credentials beyond a BSc degree, adherence to institutional guidelines, employment in hospital settings and exposure to specialised training. The ORs linked to these factors highlight the substantial influence of education, institutional procedures, hospital roles and specific training in enhancing healthcare providers' expertise. Enhancing awareness and understanding among healthcare practitioners through customised educational programmes, institutional structures and organised training efforts stands out as a crucial approach to improve healthcare services and results throughout Ethiopia.
PROSPERO REGISTRATION NUMBER
CRD42024516077.
目的
评估埃塞俄比亚医疗服务提供者孕前保健（PCC）知识的决定因素。
设计
系统评价和荟萃分析。
数据来源
在PubMed、Scopus和卫生互联网研究倡议（HINARI）中进行了全面的文献检索，检索截至2024年3月20日发表的文献。
选择研究的纳入标准
纳入报告患病率、决定因素或相关因素的原始研究。
数据提取与分析
三位作者使用标准化的乔安娜·布里格斯研究所数据提取格式提取所有相关数据。使用随机效应模型进行荟萃分析。绘制漏斗图并进行埃格检验以评估发表偏倚，通过修剪和填充分析对其进行校正。
结果
在102项研究中，最终分析纳入了6项研究，涉及2758名医疗服务提供者。埃塞俄比亚医疗服务提供者对PCC的综合知晓率经调整后为51.43%（比值比），95%置信区间为41.21%至61.65%。根据汇总估计，确定了几个因素为医疗服务提供者知识的决定因素。这些因素包括拥有高于理学学士学位的学历（比值比=2.36，95%置信区间1.46，3.08）、其所在机构有指南（比值比=2.07，95%置信区间1.37，2.77）、在医院工作（比值比=2.68，95%置信区间1.83，3.53）以及接受过PCC及相关主题的培训（比值比=4.05，95%置信区间2.52，5.59）。
结论
在埃塞俄比亚，医疗专业人员对PCC的知识有限。影响他们理解的关键因素包括高于理学学士学位的高等教育证书、遵守机构指南、在医院环境中工作以及接受专业培训。与这些因素相关的比值比突出了教育、机构程序、医院角色和特定培训在提高医疗服务提供者专业知识方面的重大影响。通过定制教育计划、机构结构和有组织的培训努力来提高医疗从业者的意识和理解，是改善整个埃塞俄比亚医疗服务和结果的关键方法。
PROSPERO注册号：CRD42024516077。
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