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Woldeyohannes D, Tekalegn Y, Sahiledengle B, Hailemariam Z, Erkalo D, Zegeye A, Tamrat H, Habte A, Tamene A, Endale F, Ertiban B, Ejajo T, Kelbiso L, Liranso L, Desta F, Ermias D, Mwanri L, Enticott JC. Preconception care in sub-Saharan Africa: A systematic review and meta-analysis on the prevalence and its correlation with knowledge level among women in the reproductive age group. SAGE Open Med 2023; 11:20503121231153511. [PMID: 36819933 PMCID: PMC9929922 DOI: 10.1177/20503121231153511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Accepted: 01/09/2023] [Indexed: 02/16/2023] Open
Abstract
Objective Preconception care is aimed to promote optimal health in women before conception to reduce or prevent poor pregnancy outcomes. Although there are several published primary studies from sub-Saharan African countries on preconception care, they need to quantify the extent of preconception care utilization, the knowledge level about preconception care, and the association among women in the reproductive age group in this region. This systematic review and meta-analysis aimed to estimate the pooled utilization of preconception care, pooled knowledge level about preconception care, and their association among women in the reproductive age group in sub-Saharan Africa. Methods Databases including PubMed, Science Direct, Hinari, Google Scholar, and Cochrane library were systematically searched for relevant literature. Additionally, the references of included articles were checked for additional possible sources. The Cochrane Q test statistics and I 2 tests were used to assess the heterogeneity of the included studies. A random-effect meta-analysis model was used to estimate the pooled prevalence of preconception care, knowledge level of preconception care, and their correlation among reproductive-aged women in sub-Saharan African countries. Results Of the identified 1593 articles, 20 studies were included in the final analysis. The pooled utilization of preconception care and good knowledge level about preconception care among women of reproductive age were found to be 24.05% (95% confidence interval: 16.61, 31.49) and 33.27% (95% confidence interval: 24.78, 41.77), respectively. Women in the reproductive age group with good knowledge levels were greater than two times more likely to utilize the preconception care than the women with poor knowledge levels in sub-Saharan African countries (odds ratio: 2.35, 95% confidence interval: 1.16, 4.76). Conclusion In sub-Saharan African countries, the utilization of preconception care and knowledge toward preconception care were low. Additionally, the current meta-analysis found good knowledge level to be significantly associated with the utilization of preconception care among women of reproductive age. These findings indicate that it is imperative to launch programs to improve the knowledge level about preconception care utilization among women in the reproductive age group in sub-Saharan African countries.
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Affiliation(s)
- Demelash Woldeyohannes
- School of Public Health, College of Medicine and Health Science, Wachemo University, Hosaena, Ethiopia,Monash Centre for Health Research and Implementation (MCHRI), School of Public Health and Preventive Medicine, Monash University, Clayton, VIC, Melbourne, Australia,Demelash Woldeyohannes, School of Public Health, College of Medicine and Health Science, Wachemo University, Hossana 554, Ethiopia.
| | - Yohannes Tekalegn
- Department of Public Health, College Health Science, Madda Walabu University, Robe, Ethiopia
| | - Biniyam Sahiledengle
- Department of Public Health, College Health Science, Madda Walabu University, Robe, Ethiopia
| | - Zeleke Hailemariam
- Department of Public Health, College of Medicine and Health Science, Arba Minch University, Arba Minch, Ethiopia
| | - Desta Erkalo
- School of Public Health, College of Medicine and Health Science, Wachemo University, Hosaena, Ethiopia
| | - Abraham Zegeye
- Department of Surgery, College of Medicine and Health Science, Wachemo University, Hosaena, Ethiopia
| | - Habtamu Tamrat
- Department of Orthopedic Surgery, College of Medicine and Health Science, Wachemo University, Hosaena, Ethiopia
| | - Akililu Habte
- School of Public Health, College of Medicine and Health Science, Wachemo University, Hosaena, Ethiopia
| | - Aiggan Tamene
- School of Public Health, College of Medicine and Health Science, Wachemo University, Hosaena, Ethiopia
| | - Fitsum Endale
- School of Public Health, College of Medicine and Health Science, Wachemo University, Hosaena, Ethiopia
| | - Biruk Ertiban
- Department of Surgery, College of Medicine and Health Science, Wachemo University, Hosaena, Ethiopia
| | - Tekle Ejajo
- School of Public Health, College of Medicine and Health Science, Wachemo University, Hosaena, Ethiopia
| | - Lolamo Kelbiso
- School of Nursing, College of Medicine and Health Science, Wachemo University, Hosaena, Ethiopia
| | - Lombamo Liranso
- Department of Obstetrics and Gynecology, College of Medicine and Health Science, Wachemo University, Hosaena, Ethiopia
| | - Fikreab Desta
- School of Public Health, College of Medicine and Health Science, Wachemo University, Hosaena, Ethiopia
| | - Dejene Ermias
- School of Public Health, College of Medicine and Health Science, Wachemo University, Hosaena, Ethiopia
| | - Lillian Mwanri
- College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia
| | - Joanne C. Enticott
- Monash Centre for Health Research and Implementation (MCHRI), School of Public Health and Preventive Medicine, Monash University, Clayton, VIC, Melbourne, Australia
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