Mothers’ utilization and associated factors of preconception care in Africa, a systematic review and meta-analysis

Tekalign, Tiwabwork; Lemma, Tesfanesh; Silesh, Mulualem; Lake, Eyasu Alem; Teshome, Mistire; Yitna, Tesfaye; Awoke, Nefsu

doi:10.1371/journal.pone.0254935

Cited by 6 publications

(8 citation statements)

References 41 publications

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“…The findings of our study revealed that 21.6% (95% CI: 18, 25.8) of the respondents utilized preconception care. This finding was in line with studies done in the West Guji Zone (22.3%) ( 34 ), Mekelle (18.2%) ( 27 ), Hosanna Town (19%) ( 35 ), south-east Nigeria (23.4%) ( 36 ), and systematic review and meta-analysis in Africa (18.72%) ( 37 ).…”

Section: Discussionsupporting

confidence: 87%

Utilization of preconception care and associated factors among pregnant mothers in Fiche Town, Central Ethiopia: a community-based cross-sectional study 2021

Fetena,

Negash,

Kebede

et al. 2023

Front. Glob. Womens Health

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IntroductionPreconception care is an important preventive intervention for adverse pregnancy outcomes. It is recognized as a strategy to optimize women's health and pregnancy outcomes in Western countries. However, preconception care is underutilized in sub-Saharan Africa, like Ethiopia, where maternal mortality is high. Evidence is scarce in the study area about the prevalence and factors associated with preconception care utilization. Therefore this study aimed to assess the proportion of preconception care utilization and associated factors among pregnant mothers in Fiche town, central Ethiopia, 2021.MethodA community-based cross-sectional study was done from May 10 to June 25, 2021. A systematic random sample technique was used to choose 393 pregnant women for the study. A structured, pre-tested, interviewer-administered questionnaire was used to collect data. The data were entered into Epi Data version 3.1 and then exported into SPSS version 25 for analysis. A Bivariable and multivariable logistic regression analysis was used to check for the association. Odds ratio along with 95% was used to describe the association. Finally, a significant association was declared at a p-value less than 0.05.Results388 respondents participated in this study, making the response rate 98.7%. Of total study participants only 84 (21.6%; 95% CI, 18, 25.8) utilized preconception care. The study found that diploma or higher level of education (AOR = 3.47, 95% CI: 1.27, 9.53), psychological and financial support from a partner (AOR = 3.86, 95% CI: 2.1, 7.10), joint discussion and plan with a partner (AOR = 3.32, 95% CI: 1.55, 7.13), history of chronic disease (AOR = 3.47, 95% CI: 1.67, 7.25), and good knowledge about preconception care (AOR = 2.42, 95% CI: 1.34, 4.38) were significantly associated with preconception care utilization.ConclusionsOverall, less than a quarter of the pregnant mothers utilized preconception care, indicating that awareness is very low. Pregnant mothers who have a higher educational level, have good communication and support from their partners, have chronic health problems, and have good knowledge about preconception care were more likely to utilize the service. Preconception care is a better opportunity to intervene and maintain the mother in the continuum of care.

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Section: Discussionsupporting

confidence: 87%

Utilization of preconception care and associated factors among pregnant mothers in Fiche Town, Central Ethiopia: a community-based cross-sectional study 2021

Fetena,

Negash,

Kebede

et al. 2023

Front. Glob. Womens Health

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“…Low knowledge of couples of childbearing age is one of the factors associated with service utilization. Couples of childbearing age with low knowledge of preconception health are less likely to take advantage of this service (15). Likewise, women couples of childbearing age with low levels of education are less likely to make visits to preconception care services (14,19).…”

Section: Discussionmentioning

confidence: 99%

“…A study conducted on women in the West Guji Zone, Southern Ethiopia, found that education level, economic status, level of knowledge, and attitudes of couples of childbearing age in uence the use of preconception care (14). All systematic reviews and meta-analyses in Africa factored in knowledge of preconception care, medical history, and desire to conceive related to the use of preconception care (15). Relatively different results were found in a study conducted on pregnant women attending antenatal care clinics of public health facilities in Hosanna town, southern Ethiopia, in which a history of contraceptive use, poor obstetric history, and low knowledge and counseling about preconception care affected the use of preconception care.…”

Section: Introductionmentioning

confidence: 99%

Exploring Perceptions Of Women And Couples Of Childbearing Age To Improve Preconception Care Visits At Public Health Centre

Luh,

Arya,

Herry

et al. 2023

Preprint

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Visiting preconception care (PCC) can prevent poor pregnancy outcomes. However, only a tiny percentage of couples of childbearing age use this service at the Public Health Centre (PHC). This study aims to explore the perceptions of women and couples of childbearing ages in the use of preconception care in PHC. This research is an exploratory qualitative study. The subjects of the study were women and couples of childbearing age. Purposively selected informants consist of the Dean of PHC, General Physicians, Obstetrics and Gynecology Specialists, women, and couples of childbearing age who have and never used PCC. The criteria for informants who participate include being willing to be informants and coordinators. Data were collected by an in-depth interview method at an agreed location. Data were analyzed thematically. Only a few informants claimed to have used PCC. The perceptions of women and fertile couples about PCC are grouped into three themes, namely, the themes of culture, knowledge, and means of service. They visit the PCC only to qualify for administration and want to become pregnant or want a child of a specific gender. Conversely, those who had never been to a service were associated with low awareness and perception of shame. Low awareness and perceptions of shame from women and couples of childbearing age contribute to low preconception healthcare visits. This study suggests increasing health care coverage through socialization about the benefits of visiting PCCs to prevent poor pregnancy outcomes.

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“…For instance, a recent systematic review and meta-analysis showed that the overall utilisation of preconception care in Africa was low at 18.72%. 11 Similarly, a recent review in sub-Saharan Africa (SSA) found that the pooled utilisation of preconception care was low at 24.05%. 12 Furthermore, a systematic review and meta-analysis in Ethiopia has…”

Section: Introductionmentioning

confidence: 99%

Association between preconception care and family planning and previous adverse birth outcomes in Ethiopia: systematic review and meta-analysis

Mekonnen,

Tsega

2024

BMJ Open

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ObjectivesInconsistent findings on the associations of preconception care with the utilisation of family planning and previous adverse birth outcomes have not been systematically reviewed in Ethiopia. Thus, this review aims to estimate the pooled association of preconception care with the utilisation of family planning and previous adverse birth outcomes in Ethiopia.DesignSystematic review and meta-analysis of observational studies.Data sourcesMEDLINE Complete, CINAHL Complete, Scopus and Global Health were searched from inception to 28 July 2023.Eligibility criteriaObservational studies that reported preconception care as an outcome variable and the use of family planning before pregnancy or previous adverse birth outcomes as exposure variables were included.Data extraction and synthesisTwo reviewers independently conducted study screening, data extraction and quality assessment. A fixed-effects model was used to determine the pooled association of preconception care with the utilisation of family planning and previous adverse birth outcomes.ResultsEight studies involving a total of 3829 participants were included in the review. The pooled meta-analysis found that women with a history of family planning use had a higher likelihood of using preconception care (OR 2.09, 95% CI 1.74 to 2.52) than those women who did not use family planning before their current pregnancy. Likewise, the pooled meta-analysis found that women with prior adverse birth outcomes had a higher chance of using preconception care (OR 3.38, 95% CI 1.06 to 10.74) than women with no history of prior adverse birth outcomes.ConclusionThis review indicated that utilisation of preconception care had a positive association with previous use of family planning and prior adverse birth outcomes. Thus, policymakers and other relevant stakeholders should strengthen the integration of preconception care with family planning and other maternal healthcare services.PROSPERO registration numberCRD42023443855.

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Mothers’ utilization and associated factors of preconception care in Africa, a systematic review and meta-analysis

Cited by 6 publications

References 41 publications

Utilization of preconception care and associated factors among pregnant mothers in Fiche Town, Central Ethiopia: a community-based cross-sectional study 2021

Utilization of preconception care and associated factors among pregnant mothers in Fiche Town, Central Ethiopia: a community-based cross-sectional study 2021

Exploring Perceptions Of Women And Couples Of Childbearing Age To Improve Preconception Care Visits At Public Health Centre

Association between preconception care and family planning and previous adverse birth outcomes in Ethiopia: systematic review and meta-analysis

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