Completion of Continuum Antenatal Care Utilization among Pregnant Mothers in Ethiopia: A Systematic Review and Meta-Analysis
*Corresponding Author:Received Date: Oct 07, 2023 / Published Date: Jan 17, 2025
Citation: Welu TH, Gebremeske GG, Abraha TH, Aberhe W, Abebe GG, et al. (2025) Completion of Continuum Antenatal Care Utilization among Pregnant Mothers in Ethiopia: A Systematic Review and Meta-Analysis. J Preg Child Health 12: 678.
Copyright: 漏 2025 Welu TH, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
Abstract
Introduction: Pregnancy and childbirth are significant events for women and their families. Every day preventable causes related to pregnancy and child birth lead to the deaths of over 800 women with 99% of these maternal deaths occurring in low and middle-income countries. Although there are some fragmented primary studies on the coverage of completion of continuum antenatal care services utilization in Ethiopia, the national level of complete continuity of antenatal care services utilization was unknown. Therefore, this is the first meta-analysis aimed to estimate the pooled prevalence of complete continuum of antenatal care services utilization in Ethiopia.
Methods: A thorough search approach employing PubMed/MEDLINE, EMBASE, HINARI, Cochrane Library, and Google search was used to find the articles. Each author individually extracted the data. The original data was represented using tables and forest plots. 12 statistics were used to assess the statistical heterogeneity. The featured papers varied in their subject matter. Therefore, in order to calculate the total pooled prevalence of complete continuum of antenatal care service in Ethiopia, authors utilized a meta-analysis of random effects. Methods like the funnel plot and Egger regression test were used to evaluate potential publication bias. Meta-regression model was done based on sample size and year of publication to identify the sources of random variations among included studies. This finding should be published in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
Results: We discovered 572 articles after a thorough search and discovery process. After that, we decide to only include twelve full-text abstract studies in this meta-analysis. According to the analysis of the available studies, 45% (95% CI: 34%-56%) of complete continuum of antenatal care service in Ethiopia overall. According to the subgroup analysis by study region and year the prevalence estimates were a little bit higher in Amhara region 55% (95% CI: 39-70) and in the year 2020 58% (95% CI: 34%-80%).
Conclusion: This study implies that Ethiopia has low pooled prevalence of complete continuum antenatal care service. To improve the utilization of complete continuum of antenatal care services, it is crucial to work on the community mobilization to increase awareness of the community on the health benefit of complete continuum of antenatal care service utilization.
