SynthesisPloS one2021
Mothers' utilization and associated factors of preconception care in Africa, a systematic review and meta-analysis.
Synthesis in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 19 citations in OpenAlex.
- Does previous pregnancy experience improve folic acid supplementation uptake? A systematic review and meta-analysis.BMJ open · 2026Pooled it
- The magnitude of preconception care utilization and associated factors among women in Ethiopia: systematic review and meta-analysis, 2024.BMC pregnancy and childbirth · 2025Pooled it
- Pooled it
- Effect of web-based preconception care and counseling on women's awareness of risk, and healthy lifestyle behaviors: an open-label randomized controlled trial.BMC women's health · 2026Trial
- The relationship between pregnant women's attitudes toward preconception care and pregnancy adaptation: a cross-sectional descriptive study.Revista da Escola de Enfermagem da U S P · 2026Article
- Factors Associated with Utilization of Preconception Care Among Pregnant Women Attending Antenatal Care at a Tertiary Hospital, Northern Uganda.International journal of women's health · 2026Article
- Inequality in preconception care utilization based on the opportunity inequality framework: evidence from explained machine learning.Frontiers in public health · 2026Article
- Preconception Care: Assessing Knowledge, Attitudes, and Practices among Physicians at a Tertiary Hospital in Ethiopia.AJP reports · 2025Article
- Preconception care utilization and pregnancy outcomes among postpartum women at Komfo Anokye Teaching Hospital, Ghana.Frontiers in reproductive health · 2025Article
- Healthcare providers' preconception care practice and associated factors in Ethiopia: a systematic review and meta-analysis.Frontiers in health services · 2025Review
- Preconception care use and associated factors among HIV positive reproductive age women attending ART clinics at public hospitals in the Hadiya zone, southern Ethiopia: a mixed method approach.BMC public health · 2024Article
- Self-reported Provision of Preconception Care and Associated Factors.The East African health research journal · 2024Article
- Utilization of preconception care and associated factors among pregnant mothers in Fiche Town, Central Ethiopia: a community-based cross-sectional study 2021.Frontiers in global women's health · 2023Article
- Article
- Participants' perceptions of the preconception phase of theWomen's health (London, England)Article
- Assessment of Awareness and Prior Utilization of Preconception Care and Associated Factors among Pregnant Women in Southwest Nigeria.Nigerian medical journal : journal of the Nigeria Medical AssociationReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAs the studies show, in every minute in the world, 380 women become pregnant and 190 face unplanned or unwanted pregnancies; 110 experience pregnancy-related complications, and one woman dies from a pregnancy-related cause. Preconception care is one of the proven strategies for the reduction in mortality and decreases the risk of adverse health effects for the woman, fetus, and neonate by optimizing maternal health services and improves woman's health. Therefore, this study aimed to estimate the pooled prevalence of utilization of preconception of care and associated factors in Africa.
methodsSystematic search of published studies done on PubMed, EMBASE, MEDLINE, Cochrane, Scopus, Web of Science CINAHL, and manually on Google Scholar. This meta-analysis follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The quality of studies was assessed by the modified Newcastle-Ottawa Scale (NOS). Meta-analysis was carried out using a random-effects method using the STATA™ Version 14 software.
resultFrom 249,301 obtained studies, 28 studies from 3 African regions involving 13067 women included in this Meta-analysis. The overall pooled prevalence of utilization of preconception care among pregnant women in Africa was found to be 18.72% (95% CI: 14.44, 23.00). Knowledge of preconception care (P = <0.001), preexisting medical condition (P = 0.045), and pregnancy intention (P = 0.016) were significantly associated with the utilization of preconception care.
conclusionThe results of this meta-analysis indicated, as one of best approaches to improve birth outcomes, the utilization of preconception care is significantly low among mothers in Africa. Therefore, health care organizations should work on strategies to improve preconception care utilization.
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Registered trials
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.