ArticleHeliyon2024
Adolescent maternal health services utilization and associated barriers in Sub-Saharan Africa: A comprehensive systematic review and meta-analysis before and during the sustainable development goals.
Article in Heliyon, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Determinants of the Number of Tetanus-Toxoid Injections Before Birth Among Pregnant Women in Somalia: A Multilevel Analysis.Public health challenges · 2026Article
- Maternal Vulnerability Indicators Derived from Free-Text Clinical Documentation in Adolescent Pregnancy.Medicina (Kaunas, Lithuania) · 2026Article
- Exploring the experiences of adolescent primigravidae during their first antenatal care visit in Gauteng Province.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2026Article
- Fostering the inclusion of teen fathers in adolescent health interventions: a call for structured and gender-inclusive programming.Annals of medicine and surgery (2012) · 2026Article
- Compliance with WHO-recommended eight+ antenatal care contacts among adolescent and young mothers in Kenya: policy implications from the 2022 Kenya demographic health survey.Reproductive health · 2026Article
- Time to initiation of antenatal care and its predictors among pregnant women across 35 sub-Saharan African countries (2011-2024): A multilevel mixed-effects acceleration failure time model of multination population survey data.Reproductive health · 2026Article
- Maternal healthcare quality, continuity, and experiences among pregnant adolescents and adult women in Ethiopia, Kenya, and South Africa: A cohort study.PLOS global public health · 2026Article
- Socioeconomic impacts of adolescent pregnancy on education and future employment in Batticaloa District, Sri Lanka.BMC public health · 2025Article
- Identifying health outcomes and future research directions of group antenatal care among adolescents in low and middle-income countries: a scoping review.BMJ global health · 2025Article
- 'I really feel pity for them': health workers' readiness to offer maternal health services to urban refugee adolescents in Kampala, Uganda-a qualitative study.BMJ public health · 2025Article
- Adolescents' lived experiences of facility-based childbirth in rural northern Uganda: A qualitative study.Women's health (London, England)Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Effective and adequate maternal health service utilization is critical for improving maternal and newborn health, reducing maternal and perinatal mortality, and important to achieve global sustainable development goals (SDGs). The purpose of this systematic review was to assess adolescent maternal health service utilization and its barriers before and during SDG era in Sub-Saharan Africa (SSA). Methods: Systematic review of published articles, sourced from multiple electronic databases such as Medline, PubMed, Scopus, Embase, CINAHL, PsycINFO, Web of Science, African Journal Online (AJOL) and Google Scholar were conducted up to January 2024. Assessment of risk of bias in the individual studies were undertaken using the Johanna Briggs Institute (JBI) quality assessment tool. The maternal health service utilization of adolescent women was compared before and after adoption of SDGs. Barriers of maternal health service utilization was synthesized using Andersen's health-seeking model. Meta-analysis was carried out using the STATA version 17 software. Results: Thirty-eight studies from 15 SSA countries were included in the review. Before adoption of SDGs, 38.2 % (95 % CI: 28.5 %, 47.9 %) adolescents utilized full antenatal care (ANC) and 44.9 % (95%CI: 26.2, 63.6 %) were attended by skilled birth attendants (SBA). During SDGs, 42.6 % (95 % CI: 32.4 %, 52.8 %) of adolescents utilized full ANC and 53.0 % (95 % CI: 40.6 %, 65.5 %) were attended by SBAs. Furthermore, this review found that adolescent women's utilization of maternal health services is influenced by various barriers, including predisposing, enabling, need, and contextual factors. Conclusions: There was a modest rise in the utilization of ANC services and SBA from the pre-SDG era to the SDG era. However, the level of maternal health service utilization by adolescent women remains low, with significant disparities across SSA regions and multiple barriers to access services. These findings indicate the importance of developing context-specific interventions that target adolescent women to achieve SDG3 by the year 2030.
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