SynthesisInternational health2022
Barriers to screening, diagnosis and management of hyperglycaemia in pregnancy in Africa: a systematic review.
Synthesis in International health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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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, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Diagnostic performance of PAPP-A and β-hCG in early detection of gestational diabetes mellitus: a meta-analysis.Acta diabetologica · 2026Pooled it
- Screening and diagnosis of gestational diabetes mellitus in routine antenatal care: A retrospective analysis from western Kazakhstan.Preventive medicine reports · 2026Article
- Association Between E-Health Literacy and OGTT Status at Study Enrollment Among Pregnant Women.Healthcare (Basel, Switzerland) · 2026Article
- Implementation determinants of risk-stratified gestational diabetes mellitus screening in community-based women's peer groups in rural western Kenya.BMC pregnancy and childbirth · 2026Article
- GraphRAG-Enabled Local Large Language Model for Gestational Diabetes Mellitus: Development of a Proof-of-Concept.JMIR diabetes · 2026Article
- Evaluation of a diabetes decentralization program in rural Madagascar using the RE-AIM framework.PLOS global public health · 2026Article
- Barriers to Early Detection and Management of Gestational Diabetes Mellitus in Northwest Ethiopia: A Qualitative Study From the Healthcare Providers' Perspectives.Obstetrics and gynecology international · 2026Article
- Adherence to gestational diabetes screening guidelines: Retrospective audit in three public hospitals in Ethiopia.PloS one · 2026Article
- Article
- Resource constraints, patient emotions, and therapy: experiences of healthcare providers in the screening and management of gestational diabetes mellitus in northern Ghana.BMC health services research · 2025Article
- Performance of point-of-care glucose testing for the diagnosis of gestational diabetes in South Africa.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Article
- Knowledge of healthcare providers on preconception care in east Africa: Systematic review and meta-analysis.SAGE open medicine · 2025Review
- Self-management interventions for gestational diabetes in Africa: a scoping review.BMC pregnancy and childbirth · 2024Article
- Article
- Screening and nursing management of gestational diabetes in Ghana: Evidence-based recommendations.Heliyon · 2023Article
- Gestational diabetes mellitus in Cameroon: prevalence, risk factors and screening strategies.Frontiers in clinical diabetes and healthcare · 2023Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Gestational diabetes mellitus (GDM) complicates pregnancies in Africa. Addressing the burden is contingent on early detection and management practices. This review aimed at identifying the barriers to diagnosing and managing GDM in Africa. We searched PUBMED, Web of Science, WHOLIS, Google Scholar, CINAHL and PsycINFO databases in May 2020 for studies that reported barriers to diagnosis and management of hyperglycaemia in pregnancy. We used a mixed method quality appraisal tool to assess the quality and risk of bias of the included studies. We adopted an integrated and narrative synthesis approach in the analysis and reporting. Of 548 articles identified, 14 met the eligibility criteria. Health system-related barriers to GDM management were the shortage of healthcare providers, relevant logistics, inadequate knowledge and skills, as well as limited opportunities for in-service training. Patient-related barriers were insufficient knowledge about GDM, limited support from families and health providers and acceptability of the diagnostic tests. Societal level barriers were concomitant use of consulting traditional healers, customs and taboos on food and body image perception. It was concluded that constraints to GDM detection and management are multidimensional. Targeted interventions must address these barriers from broader, systemic and social perspectives.
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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.