Adequate antenatal care service utilizations after the onset of COVID-19 pandemic in Ethiopia: a systematic review and meta-analysis

BackgroundThe world faces great difficulty in continuing to provide essential maternity health care after the onset of COVID-19 pandemic Many women have trouble accessing maternity healthcare due to fear of infection. A decline in the utilization of maternity health services is suggested to worsen a...

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Main Authors: Temesgen Gebeyehu Wondmeneh, Zelalem Solomon Tadesse
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-11-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1395190/full
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author Temesgen Gebeyehu Wondmeneh
Zelalem Solomon Tadesse
author_facet Temesgen Gebeyehu Wondmeneh
Zelalem Solomon Tadesse
author_sort Temesgen Gebeyehu Wondmeneh
collection DOAJ
description BackgroundThe world faces great difficulty in continuing to provide essential maternity health care after the onset of COVID-19 pandemic Many women have trouble accessing maternity healthcare due to fear of infection. A decline in the utilization of maternity health services is suggested to worsen adequate antenatal care service utilization. Thus, this study aimed to determine the pooled estimate of adequate antenatal care service utilization after the onset of COVID-19 in Ethiopia.MethodsThe searching of articles was carried out on Web of Science, Scopus, PubMed, CINHAL, Google Scholar, African journals online, and the institutional repository of Ethiopian universities. Using a Microsoft Excel standardized spreadsheet, the data were extracted. A random effect model was used to determine a pooled estimate of adequate antenatal care utilization. I2 statistics were used to quantify the amount of heterogeneity. The evidence of publication bias was examined using Egger's regression test and a visual inspection of the funnel plot. Subgroup and sensitivity analyses were also carried out.ResultsFinally, this systematic review and meta-analysis included 11 eligible articles. The overall pooled estimate of adequate antenatal care service utilization after the onset of COVID-19 pandemic in Ethiopia was 46.28% (95% CI: 35.32%−57.26%). There is a substantial amount of heterogeneity between studies (I2 = 99.07%, p < 0.001). Pregnant women who visited antenatal care early were 10.9 times more likely to have adequate antenatal care utilization than those without early visits (AOR = 10.93, 95% CI: 7.2–14.66).ConclusionIn this review, the percentage of women who utilized adequate antenatal care after the onset of COVID-19 pandemic in Ethiopia was less than half. Early antenatal care visit is an important factor to achieve adequate antenatal care service utilizations.Systematic review registration: CRD42023495279.
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spelling doaj-art-0abbd5441ca94a60b02e60a147e97f3c2024-11-15T11:35:09ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-11-011210.3389/fpubh.2024.13951901395190Adequate antenatal care service utilizations after the onset of COVID-19 pandemic in Ethiopia: a systematic review and meta-analysisTemesgen Gebeyehu Wondmeneh0Zelalem Solomon Tadesse1Department of Public Health, College of Medical and Health Science, Samara University, Semera, EthiopiaDepartment of Management, College of Business and Economics, Samara University, Semera, EthiopiaBackgroundThe world faces great difficulty in continuing to provide essential maternity health care after the onset of COVID-19 pandemic Many women have trouble accessing maternity healthcare due to fear of infection. A decline in the utilization of maternity health services is suggested to worsen adequate antenatal care service utilization. Thus, this study aimed to determine the pooled estimate of adequate antenatal care service utilization after the onset of COVID-19 in Ethiopia.MethodsThe searching of articles was carried out on Web of Science, Scopus, PubMed, CINHAL, Google Scholar, African journals online, and the institutional repository of Ethiopian universities. Using a Microsoft Excel standardized spreadsheet, the data were extracted. A random effect model was used to determine a pooled estimate of adequate antenatal care utilization. I2 statistics were used to quantify the amount of heterogeneity. The evidence of publication bias was examined using Egger's regression test and a visual inspection of the funnel plot. Subgroup and sensitivity analyses were also carried out.ResultsFinally, this systematic review and meta-analysis included 11 eligible articles. The overall pooled estimate of adequate antenatal care service utilization after the onset of COVID-19 pandemic in Ethiopia was 46.28% (95% CI: 35.32%−57.26%). There is a substantial amount of heterogeneity between studies (I2 = 99.07%, p < 0.001). Pregnant women who visited antenatal care early were 10.9 times more likely to have adequate antenatal care utilization than those without early visits (AOR = 10.93, 95% CI: 7.2–14.66).ConclusionIn this review, the percentage of women who utilized adequate antenatal care after the onset of COVID-19 pandemic in Ethiopia was less than half. Early antenatal care visit is an important factor to achieve adequate antenatal care service utilizations.Systematic review registration: CRD42023495279.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1395190/fulladequateantenatal careserviceutilizationEthiopia
spellingShingle Temesgen Gebeyehu Wondmeneh
Zelalem Solomon Tadesse
Adequate antenatal care service utilizations after the onset of COVID-19 pandemic in Ethiopia: a systematic review and meta-analysis
Frontiers in Public Health
adequate
antenatal care
service
utilization
Ethiopia
title Adequate antenatal care service utilizations after the onset of COVID-19 pandemic in Ethiopia: a systematic review and meta-analysis
title_full Adequate antenatal care service utilizations after the onset of COVID-19 pandemic in Ethiopia: a systematic review and meta-analysis
title_fullStr Adequate antenatal care service utilizations after the onset of COVID-19 pandemic in Ethiopia: a systematic review and meta-analysis
title_full_unstemmed Adequate antenatal care service utilizations after the onset of COVID-19 pandemic in Ethiopia: a systematic review and meta-analysis
title_short Adequate antenatal care service utilizations after the onset of COVID-19 pandemic in Ethiopia: a systematic review and meta-analysis
title_sort adequate antenatal care service utilizations after the onset of covid 19 pandemic in ethiopia a systematic review and meta analysis
topic adequate
antenatal care
service
utilization
Ethiopia
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1395190/full
work_keys_str_mv AT temesgengebeyehuwondmeneh adequateantenatalcareserviceutilizationsaftertheonsetofcovid19pandemicinethiopiaasystematicreviewandmetaanalysis
AT zelalemsolomontadesse adequateantenatalcareserviceutilizationsaftertheonsetofcovid19pandemicinethiopiaasystematicreviewandmetaanalysis