Evidence map›Paper›PMID 31638927›Full record

ArticleBMC pregnancy and childbirth2019

Maternal health service utilisation of adolescent women in sub-Saharan Africa: a systematic scoping review.

Tensae Mekonnen, Tinashe Dune, Janette Perz

Open access · goldAbstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 82 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed, 2 pooled it
21.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

82 citing papers in PubMed, 2 syntheses or guidelines pooled it, 145 citations in OpenAlex.

  1. Pooled it
  2. Adolescent Pregnancy in South Asia: A Systematic Review of Observational Studies.International journal of environmental research and public health · 2022
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  18. Community caregivers' perceptions: Family-centred postnatal care in KwaZulu-Natal, South Africa.African journal of primary health care & family medicine · 2025
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22 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Tensae MekonnenTranslational Health Research Institute (THRI), School of Medicine, Western Sydney University, Penrith, NSW, 2751, Australia. t.mekonnen@westernsydney.edu.au.
Tinashe DuneTranslational Health Research Institute (THRI), School of Medicine, Western Sydney University, Penrith, NSW, 2751, Australia.
Janette PerzTranslational Health Research Institute (THRI), School of Medicine, Western Sydney University, Penrith, NSW, 2751, Australia.
Western Sydney University · AUTranslational Research Institute · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSub-Saharan Africa has the highest rate of adolescent pregnancy in the world. While pregnancy during adolescence poses higher risks for the mother and the baby, the utilisation of maternity care to mitigate the effects is low. This review aimed to synthesise evidence on adolescent mothers' utilisation of maternity care in Sub-Saharan Africa and identify the key determinant factors that influence adolescent mothers' engagement with maternity care.

methodA systematic review of scholarly literature involving seven databases: ProQuest, PubMed, EMBASE/Elsevier, SCOPUS, PsycINFO, CINAHL and Infomit was conducted. Studies published in English between 1990 and 2017 that examined Sub-Saharan adolescent mothers' experiences of utilising biomedical maternity care during pregnancy, delivery and the post-partum period were included.

resultsFrom 296 relevant articles 27 were identified that represent the experience of adolescent mothers' maternal health service utilisation in Sub-Saharan Africa. The review indicates that maternal health service utilisation in the majority of Sub-Saharan African countries is still low. There is also a wide discrepancy in the use of maternity care services by adolescent mothers across countries in Sub-Saharan Africa.

conclusionsThe review reveals that a significant number of adolescents in Sub-Saharan Africa do not access and use maternity services during pregnancy. Several factors from individual to systemic levels contributed to low access and utilisation. This implies that interventions targeting the women, their partners, healthcare professionals, communities and the organisations (local to national) are necessary to improve adolescent mother's engagement with maternity care in Sub-Saharan Africa.

Indexed as

AdolescentAfrica South of the SaharaDeveloping CountriesFemaleHealth Services AccessibilityHumansMaternal Health ServicesPregnancyPregnancy in AdolescenceAdolescentsAntenatal careMaternal health careService utilisationSkilled birth deliverySub-Saharan AfricaTeenage pregnancy

Identifiers

PMID31638927
PMCPMC6805384
OpenAlexW2982071713

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.