Current state of preconception care in sub-Saharan Africa: A systematic scoping review

Ukoha, Winifred Chinyere; Mtshali, Ntombifikile Gloria; Adepeju, Lateef

doi:10.4102/phcfm.v14i1.3096

Cited by 8 publications

(12 citation statements)

References 51 publications

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“…African women in general are under social pressure to bear children and will take the risk despite the severity of disease ( 143 ). Secondly, there is limited awareness and access to preconception counseling, with many seeking healthcare after or at the end of the first trimester whilst on contraindicated chronic cardiac medications and warfarin anticoagulation ( 144 ). Moreover, there is still limited access to surgical procedures for most women in the childbearing age ( 145 ).…”

Section: Overview Of Cardiovascular Pathologies In Africamentioning

confidence: 99%

Cardiovascular diseases in Africa in the twenty-first century: Gaps and priorities going forward

Minja

Nakagaayi

Aliku

et al. 2022

Front. Cardiovasc. Med.

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In 2015, the United Nations set important targets to reduce premature cardiovascular disease (CVD) deaths by 33% by 2030. Africa disproportionately bears the brunt of CVD burden and has one of the highest risks of dying from non-communicable diseases (NCDs) worldwide. There is currently an epidemiological transition on the continent, where NCDs is projected to outpace communicable diseases within the current decade. Unchecked increases in CVD risk factors have contributed to the growing burden of three major CVDs—hypertension, cardiomyopathies, and atherosclerotic diseases- leading to devastating rates of stroke and heart failure. The highest age standardized disability-adjusted life years (DALYs) due to hypertensive heart disease (HHD) were recorded in Africa. The contributory causes of heart failure are changing—whilst HHD and cardiomyopathies still dominate, ischemic heart disease is rapidly becoming a significant contributor, whilst rheumatic heart disease (RHD) has shown a gradual decline. In a continent where health systems are traditionally geared toward addressing communicable diseases, several gaps exist to adequately meet the growing demand imposed by CVDs. Among these, high-quality research to inform interventions, underfunded health systems with high out-of-pocket costs, limited accessibility and affordability of essential medicines, CVD preventive services, and skill shortages. Overall, the African continent progress toward a third reduction in premature mortality come 2030 is lagging behind. More can be done in the arena of effective policy implementation for risk factor reduction and CVD prevention, increasing health financing and focusing on strengthening primary health care services for prevention and treatment of CVDs, whilst ensuring availability and affordability of quality medicines. Further, investing in systematic country data collection and research outputs will improve the accuracy of the burden of disease data and inform policy adoption on interventions. This review summarizes the current CVD burden, important gaps in cardiovascular medicine in Africa, and further highlights priority areas where efforts could be intensified in the next decade with potential to improve the current rate of progress toward achieving a 33% reduction in CVD mortality.

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Section: Overview Of Cardiovascular Pathologies In Africamentioning

confidence: 99%

Cardiovascular diseases in Africa in the twenty-first century: Gaps and priorities going forward

Minja

Nakagaayi

Aliku

et al. 2022

Front. Cardiovasc. Med.

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“…Researchers attributed the low prevalence of folic acid usage in the preconceptional period in Africa, including Sudan, to several factors, such as low maternal education, 11 , 29 poor knowledge on risks/benefits of folic acid usage, 29 and lack of preconceptional counseling, 31 , 36 and late antenatal care initiation and, as a consequence, the late usage of folic acid. 17 , 29 For instance, in central Sudan, while a low prevalence of folic acid usage (3.5%) was found in women with low education and low knowledge about folic acid, a relatively high folic acid usage (8.3%) existed with women with high education (college-educated) and high knowledge of folic acid usage.…”

Section: Discussionmentioning

confidence: 99%

“… 41 Unfortunately, a systematic scoping review that included 39 articles from Sub-Saharan African countries revealed suboptimal usage of preconception care services, and folic acid preconception supplementation was the least-sought service compared with HIV testing. 36 Facility-based and media-based campaigns can be a good approach to raising awareness about the importance and timely initiation of folic acid in the childbearing period. 13 , 34 , 41 …”

Section: Discussionmentioning

confidence: 99%

Periconceptional folic acid usage and its associated factors in eastern Sudan: A cross-sectional study

Hassan,

Bashir

et al. 2024

Womens Health (Lond Engl)

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Background: Several countries poorly adhere to the World Health Organization’s recommendation of folic acid supplementation in the periconceptional period, especially in limited-resource settings. Objective: The objective of this study was to investigate the prevalence of and the factors associated with folic acid usage in the periconceptional period among pregnant women at Gadarif Maternity Hospital in eastern Sudan. Study design: This is a cross-sectional study. Methods: This study was conducted in eastern Sudan from April to September 2022. A total of 720 pregnant women in their first trimester were enrolled. The sociodemographic characteristics and clinical and obstetrical data of pregnant women in their first trimester were assessed using a face-to-face questionnaire. In addition, multivariate regression analysis was performed. Results: In this study, the median (interquartile range) of the age and gravidity of the enrolled women was 26.3 (24.14–29.52) years and 2 (1–4), respectively. Of these 720 women, 423 (58.8%) used folic acid during the periconceptional period, while 27 (3.7%) women used folic acid in the preconceptional period. None of the investigated factors (age, residence, education, employment, body mass index, or gravidity) were associated with periconceptional use of folic acid. Conclusion: The study revealed a low prevalence of folic acid usage in preconceptional period among pregnant women in eastern Sudan. Additional efforts are needed to promote folic acid usage in the preconceptional period as well as in the first trimester.

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“…Table 5 shows that the association between married 37.75% (23) and unmarried 8.7% (4) respondents who provided preconception care was statistically significant (p = 0.001). The association in the provision of preconception care between those with college 12.7% (7); and university 38.5% (20) education was statistically significant (p = 0.003).…”

Section: Associations Between Variablesmentioning

confidence: 97%

Provision of Preconception Care by Midwives, Nurses and Doctors at Ndola Teaching Hospital in Ndola District, Zambia

Sakanyi,

Chapima,

Kwaleyela

2024

OJOG

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Background: The goal of preconception care is to improve the outcome of a mother's pregnancy and childbirth. Nevertheless, in most developing nations; Zambia included, there are still issues with implementation of preconception care. Therefore, the aim of this study was to establish the provision of preconception care by midwives, nurses and doctors at Ndola Teaching Hospital in Zambia. Methods: A concurrent embedded mixed methodology utilising a descriptive explorative study design, where 107 respondents were randomly selected using the lottery technique for quantitative part and two focused group discussions for qualitative part of the study was used. A self-administered questionnaire was used to collect quantitative data and a focus group discussion guide was used for the focus group discussions. Statistical Package of Social Sciences version 26 with significance set at 0.05 and at 95% confidence level and thematic analysis were used for data analysis. Results: 75% of the respondents in this study were not providing preconception care and only 25% of respondents were providing preconception care; however, this was provided randomly because there were no guidelines to follow. Among the respondents, 81.3% had medium knowledge, 70.1% had good practices and 92.5% had positive attitudes towards preconception care. Further analysis showed that the association between preconception care and knowledge, practices and attitudes was not statistically significant (p = values 0.336; 0.344; 1.000 respectively). Multivariate logistic regression revealed that participants with high knowledge were five times more likely to provide preconception care (OR = 5.00, CI = 0.42 -59.7, P = 0.203). Generally, all the participants acknowledged that preconception care was an important package that could prevent maternal and child morbidities and mortalities. Conclusions: The study revealed that most of the respondents were not providing How to cite this paper: Sakanyi, G., Chapima, F. and Kwaleyela, C.N. (2024) Provision of Preconception Care by Midwives, Nurses and Doctors at Ndola Teaching Hospital in Ndola District, Zambia.

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Current state of preconception care in sub-Saharan Africa: A systematic scoping review

Cited by 8 publications

References 51 publications

Cardiovascular diseases in Africa in the twenty-first century: Gaps and priorities going forward

Cardiovascular diseases in Africa in the twenty-first century: Gaps and priorities going forward

Periconceptional folic acid usage and its associated factors in eastern Sudan: A cross-sectional study

Provision of Preconception Care by Midwives, Nurses and Doctors at Ndola Teaching Hospital in Ndola District, Zambia

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