The Effect of Antenatal Care Service Utilization on Postnatal Care Service Utilization: A Systematic Review and Meta-analysis Study

Abstract

Introduction. Reduction of maternal and neonatal morbidity and mortality has continued to be a challenge in developing countries. The majority of maternal and neonatal mortality occurred during the early postpartum period. This is mostly due to low postnatal care service utilization. There is a discrepancy of evidence on the effect status of antenatal care on the improvement of postnatal care service utilization. Therefore, this review study is aimed at estimating the pooled effect of antenatal care on postnatal care service utilization. Methods. We searched from PubMed and Cochrane library database, Google Scholar, and Google. Initially, we found 265 articles; after duplication was removed and screened by the relevance of the titles and abstracts, 36 studies were considered for assessment of eligibility. Finally, 14 articles passed the inclusion and exclusion criteria and are included in the meta-analysis. Study quality assessment was done using Janna Briggs Institute (JBI) critical appraisal tools. The main information was extracted from each study. Heterogeneity of studies was assessed using I2=70% and more considered having high heterogeneity. The publication bias was checked using funnel plot and big test. Meta-analysis using a random effect model was conducted. A forest plot was used to show the estimated size effect of odds ratio with a 95% confidence interval. Results. A total of 14 articles were included with 15,765 participants for synthesis and meta-analysis. We found that a pooled estimate of women who had antenatal care was 1.53 times more likely to have postnatal care compared with those who had no antenatal care (AOR=1.53, 95% CI 1.38-1.70, I2=0%). Conclusions. This review results revealed a low utilization of postnatal care service. Antenatal care service utilization has a positive effect on postnatal care service utilization. Policymakers and programmers better considered more antenatal care service use as one strategy of enhancing the utilization of postnatal care service.

Maternity Care Services Utilization and Factors Associated with Institutional Delivery Among Postpartum Women in Dabat Demographic and Health Survey Site, Northwest Ethiopia: A Community Based Baseline Survey for MNCH Surveillance

“…This nding is consistent with a study nding in Hossaina town (51.4%) [27]. However, this nding was higher than a pooled estimate report of metaanalyses in Ethiopia (31.3%) [39] and studies conducted in different parts of Ethiopia like in Debremarkos town (33.5%) [35], Abuna Gindeberet District, West Shewa(31.7%) [13], Dembecha (31.4%) [10], Halaba Kulito town, southern Ethiopia(47.9%) [40], South Sudan (11.4%) [17], Kenya (45.1%) [19], Rwanda (12.8%) [23], Tanzania (43.5%) [20], and India (26.3%) [21]. Attending ANC and/or institutional delivery have a great effect on the uptake postnatal care (PNC) because ANC is a gateway for institutional delivery as well as for PNC service utilization.…”

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“…Os óbitos perinatais persistem na classe de mulheres com faixa etária média para gestar, de níveis socioeconômicos mais baixos, de grupos étnicos específicos, baixo grau de educação e de pessoas que vivem em áreas carentes. É certo que a escolaridade materna pode influenciar no acesso e na adesão aos cuidados materno-infantil, principalmente no que se refere ao pré-natal, com consequente impacto na frequência das consultas e acompanhamento da gestação, repercutindo sobre a chance de complicação gestacional (Rêgo et al, 2018;Geremew, Boke & Yismaw, 2020).…”

Access and Quality of Postnatal Care in Low- and Middle - Income Countries: A Pragmatic Review

“…Women who receive antenatal care or delivery services from skilled providers are more likely to use postnatal care services. [36,40]. Geographic accessibility of health care centres plays an important role in determining use of care [25].…”