Essential newborn care utilization and associated factors in Ethiopia: a systematic review and meta-analysis

Alamneh, Yoseph Merkeb; Adane, Fentahun; Akalu, Tadesse Yirga

doi:10.1186/s12884-020-2804-7

Cited by 20 publications

(34 citation statements)

References 28 publications

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“…This review study estimated that the level of Essential newborn care practice among postpartum women in East Africa was 38%. This finding was lower as compared to a meta-analysis done in Ethiopia about 48.77% 7 , Nepal about 70.7% 41 , and India about 66.70% 42 . The possible justification for the discrepancy may be due to differences in socio-economic, differences in socio-cultural aspects, differences in study setting, and differences in sample size.…”

Section: Discussioncontrasting

confidence: 69%

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The effects of ANC follow up on essential newborn care practices in east Africa: a systematic review and meta-analysis

Amsalu

Kefale

Muche

et al. 2021

Sci Rep

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In the situation of high maternal morbidity and mortality in Sub-Saharan Africa, less than 80% of pregnant women receive antenatal care services. To date, the overall effect of antenatal care (ANC) follow up on essential newborn practice have not been estimated in East Africa. Therefore, this study aims to identify the effect of ANC follow up on essential newborn care practice in East Africa. We reported this review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). We searched articles using PubMed, Cochrane library, African journal online (AJOL), and HINARI electronic databases as well as Google/Google scholar search engines. Heterogeneity and publication bias between studies were assessed using I2 test statistics and Egger’s significance test. Forest plots were used to present the findings. In this review, 27 studies containing 34,440 study participants were included. The pooled estimate of essential newborn care practice was 38% (95% CI 30.10–45.89) in the study area. Women who had one or more antenatal care follow up were about 3.71 times more likely practiced essential newborn care compared to women who had no ANC follow up [OR 3.71, 95% CI 2.35, 5.88]. Similarly, women who had four or more ANC follow up were 2.11 times more likely practiced essential newborn care compared to women who had less than four ANC follow up (OR 2.11, 95% CI 1.33, 3.35). Our study showed that the practice of ENBC was low in East Africa. Accordingly, those women who had more antenatal follow up were more likely practiced Essential newborn care. Thus, to improve the practice of essential newborn care more emphasis should be given on increasing antenatal care follow up of pregnant women in East Africa.

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Section: Discussioncontrasting

confidence: 69%

“…Most causes of neonatal death are preventable and related to cord care to decrease sepsis, temperature control by delaying first bath and initiation of early breastfeeding which has the additional benefit of controlling hypothermia [7][8][9][10] .…”

mentioning

confidence: 99%

The effects of ANC follow up on essential newborn care practices in east Africa: a systematic review and meta-analysis

Amsalu

Kefale

Muche

et al. 2021

Sci Rep

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“…Mothers who were educated were knowledgeable about sunning their child compared to those those uneducated [ 21 ]. This finding supported by previous studies conducted on related clinical problems in Ethiopia [ 38 , 39 ]. This might be attributed to health information exposure among educated women that could be obtained from school.…”

Section: Discussionsupporting

confidence: 91%

Knowledge and practice of mothers towards sunshine exposure of their children in Ethiopia: a systematic review and meta-analysis

et al. 2022

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Background Early morning sunlight exposure for infants is a good practice to prevent rickets and alleviate the problem of vitamin D deficiency. Rickets is a major public health problem in many countries especially in developing country including Ethiopia. As mothers are frontline person for their children who should know and practice about sunlight exposure, this systematic review and meta-analysis aimed to assess the pooled level of knowledge and practice towards sunlight exposure of their children among mothers in Ethiopia. Methods PubMed, Google Scholar, Excerpta Medica database (EMBASE), Cochrane Library, Web of Science, and African Journal of Online (AJOL) were searched. The data were extracted using Microsoft Excel and analyzed using STATA version 14. Publication bias was checked by funnel plot and more objectively through Egger’s regression test, with P < 0.05 considered to indicate potential publication bias. The heterogeneity of studies was checked using I2 statistics. Pooled analysis was conducted using a weighted inverse variance random-effects model. Subgroup analysis was done related to geographic region and time. A leave-one-out sensitivity analysis was also employed. Result A total of 8 studies with 2974 study participants for knowledge, nine studies with 3475 study participants for practice were used to estimate the pooled level of good knowledge and good practice of sunshine exposure among Ethiopian mothers. The overall estimated good level of knowledge and good practice towards sunshine exposure of their children among mothers was found to be 56.08% ((95% CI: 46.26 - 65.89%; I2 = 96.8%) and 55.632% (95%CI: 44.091 - 67.174%; I2 = 98.2%). Regional subgroup analysis showed that the pooled level of good practice in Amhara and Sidama regions found to be 54.41 and 58.32% respectively. Conclusion Study findings showed mothers knowledge and practice towards sunshine exposure of children was quite low in Ethiopia. This study therefore recommends that interventions are needed to increase knowledge and practice of sunlight exposure. This study provides much needed significant evidence for making health-policy recommendations for this vulnerable population group.

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“…Then, a combined quality score ranging from 0 to 9 was assigned to each included article ( S2 File ). Finally, studies with the scale of ≥ 6 out of 9 were categorized as high quality [ 32 ].…”

Section: Methodsmentioning

confidence: 99%

Breast self-examination practice and its determinants among women in Ethiopia: A systematic review and meta-analysis

et al. 2021

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Background The survival rate from breast cancer is lowest in African countries and the distribution of breast self-examination practice of and its determinants are not well investigated in Ethiopia. Therefore, this systematic review and meta-analysis was designed to determine the pooled prevalence of breast self-examination and its associated factors among women in Ethiopia. Methods Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was followed for this systematic review and meta-analysis. The databases used were; PUBMED, Cochrane Library, Google Scholar, CINAHL, African Journals Online, Dimensions and Summon per country online databases. Search terms used were; breast self-examination, breast cancer screening, early detection of breast cancer and Ethiopia. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) was used for critical appraisal of studies. The meta-analysis was conducted using STATA 15 software. The pooled meta-analysis was computed to present the pooled prevalence and relative risks (RRs) of the determinate factors with 95% confidence intervals (CIs). Results We identified 2,637 studies, of which, 40 articles (with 17,820 participants) were eligible for inclusion in the final meta-analysis. The pooled estimate of breast self-examination in Ethiopia was 36.72% (95% CI: 29.90, 43.53). The regional distribution breast self-examination ranged from 21.2% (95% CI: 4.49, 37.91) in Tigray to 61.5% (95% CI: 53.98, 69.02) in Gambela region. The lowest prevalence of breast self-examination was observed among the general population (20.43% (95% CI: 14.13, 26.72)). Women who had non-formal educational status (OR = 0.4 (95% CI: 0.21, 0.77)), family history of breast cancer (OR = 2.04 (95% CI: 1.23, 3.39)), good knowledge of breast self-examination (OR = 4.8 (95% CI: 3.03, 7.6)) and favorable attitude toward breast self-examination (OR = 2.75, (95% CI: 1.66, 4.55)) were significantly associated with practice of breast self-examination. Conclusions Only a third of women in Ethiopia practiced breast examination despite WHO guidelines advocating for this practice among all women of reproductive age. Intervention programs should address the factors that are associated with breast self-examination. Population specific programs are needed to promote breast self-examination.

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Essential newborn care utilization and associated factors in Ethiopia: a systematic review and meta-analysis

Cited by 20 publications

References 28 publications

The effects of ANC follow up on essential newborn care practices in east Africa: a systematic review and meta-analysis

The effects of ANC follow up on essential newborn care practices in east Africa: a systematic review and meta-analysis

Knowledge and practice of mothers towards sunshine exposure of their children in Ethiopia: a systematic review and meta-analysis

Breast self-examination practice and its determinants among women in Ethiopia: A systematic review and meta-analysis

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