Evidence map›Paper›PMID 39779274›Full record

SynthesisBMJ open2025

Determinants of knowledge of preconception care among healthcare providers in Ethiopia: a systematic review and meta-analysis.

Befkad Derese Tilahun, Mulat Ayele, Addis Wondmagegn Alamaw, Tegene Atamenta Kitaw, Eyob Shitie Lake, Biruk Beletew Abate, Gizachew Yilak, Nimona Amena

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
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

8 authors.

Befkad Derese TilahunDepartment of Nursing, College of Health science, Woldia University, Woldia, Ethiopia befkadderese6@gmail.com.ORCID http://orcid.org/0009-0006-6205-1139
Mulat AyeleDepartment of Midwifery, College of science, Woldia University, Woldia, Ethiopia.ORCID http://orcid.org/0000-0002-4244-9100
Addis Wondmagegn AlamawDepartment of Emergency and Critical Care Nursing, College of Health science, Woldia University, Woldia, Ethiopia.ORCID http://orcid.org/0000-0003-4927-7556
Tegene Atamenta KitawDepartment of Nursing, College of Health science, Woldia University, Woldia, Ethiopia.ORCID http://orcid.org/0000-0002-7199-1249
Eyob Shitie LakeDepartment of Midwifery, College of science, Woldia University, Woldia, Ethiopia.ORCID http://orcid.org/0000-0001-7437-6076
Biruk Beletew AbateDepartment of Nursing, College of Health science, Woldia University, Woldia, Ethiopia.ORCID http://orcid.org/0000-0003-0833-2504
Gizachew YilakDepartment of Nursing, College of Health science, Woldia University, Woldia, Ethiopia.ORCID http://orcid.org/0000-0001-5650-9699
Nimona AmenaDepartment of Nursing, College of Health science, Ambo University, Ambo, Ethiopia.ORCID http://orcid.org/0009-0007-1039-6191

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the determinants of knowledge of preconception care (PCC) among healthcare providers in Ethiopia.

designSystematic review and meta-analysis. DATA SOURCE: Comprehensive literature searches were conducted in PubMed, Scopus and Health Internetwork Access to Research Initiative (HINARI) published until 20 March 2024. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Primary studies that reported the prevalence, determinants or associated factors were included. DATA EXTRACTION AND ANALYSIS: Three authors extracted all the relevant data using a standardised Joanna Briggs Institute data extraction format. Meta-analysis was done using a random-effects model. A funnel plot and Egger's test were done to assess publication bias, which was corrected by trim and fill analysis.

resultOut of 102 studies, the final analysis included six studies involving 2758 healthcare providers. The pooled knowledge of PCC among healthcare providers in Ethiopia was determined to be 51.43% (Adjusted OR), with a 95% CI ranging from 41.21% to 61.65%. Several factors were identified as determinants of healthcare providers' knowledge based on the pooled estimate. These factors include having an educational qualification above a BSc degree (OR=2.36, 95% CI 1.46, 3.08), the presence of guidelines in their institution (OR=2.07, 95% CI 1.37, 2.77), working in hospitals (OR=2.68, 95% CI 1.83, 3.53) and receiving training on PCC and related topics (OR=4.05, 95% CI 2.52, 5.59).

conclusionHealthcare professionals exhibited limited knowledge of PCC in Ethiopia. Key elements influencing their comprehension encompass advanced educational credentials beyond a BSc degree, adherence to institutional guidelines, employment in hospital settings and exposure to specialised training. The ORs linked to these factors highlight the substantial influence of education, institutional procedures, hospital roles and specific training in enhancing healthcare providers' expertise. Enhancing awareness and understanding among healthcare practitioners through customised educational programmes, institutional structures and organised training efforts stands out as a crucial approach to improve healthcare services and results throughout Ethiopia. PROSPERO REGISTRATION NUMBER: CRD42024516077.

Indexed as

Health Knowledge, Attitudes, PracticeHealth PersonnelPreconception CareEthiopiaFemaleHumansGYNAECOLOGYPrimary Health CarePrimary PreventionReproductive medicine

Identifiers

PMID39779274
PMCPMC11752034

What OpenQuestion holds

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LicenceCC BY-NC
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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.