Charlotte Faurie, Alexandra Alvergne, Demi Cheng, Claire Duflos, Liset Elstgeest, Rosanna Ferreira, Hein Raat, Verushka Valsecchi, Alberto Pilotto, Graham Baker, Marta M Pisano, Yves-Marie Pers
Can pain be self-managed? Pain change in vulnerable participants to a health education programme
The International journal of health planning and management
antenatal care directed toward ensuring healthy pregnancy outcomes quality antenatal care increases likelihood receiving effective intervention maintain maternal fetal neonatal wellbeing poor quality linked poor pregnancy outcomes however owing complex nature quality researchers followed several approaches systematically measure evidence variable approaches appears inconsistence poses challenges programmers policymakers hence imperative obtain pooled estimate quality antenatal care therefore considering scarcity evidence quality antenatal care study aimed review synthesize bring pooled estimates accessible evidence study aimed estimate pooled magnitude predictors quality antenatal care services compare regional disparity conducted comprehensive systematic threestep approach search published unpublished sources 2002 2022 methodological quality eligible studies checked using joanna briggs institute critical appraisal tool crosssectional studies metaanalysis carried using stata version 16 statistical heterogeneity assessed using cochrans q test presence moderate heterogeneity i2 50 sensitivity subgroup analyses conducted presented forest plot effect size reported using standardized mean difference 95 confidence interval funnel plots eggers regression test used measure publication bias 5 significance level trimandfill analysis conducted adjust publication bias pooled estimates computed using randomeffects models weighted using inverse variance method presence high heterogeneity among studies 95 ci 5 significance level considered declare significance variables global pooled poorquality antenatal care 6428 95 ci 59586898 i2 9997 p 0001 identified pooled predictors goodquality antenatal care service number antenatal care visits fourth antenatal care visit adjusted odds ratio aor 26 95 ci 137384 family wealth index aor 272 95 ci 189355 maternal education attainment aor 303 95 ci 224382 residence urban dwellers aor 406 95 ci 095717 confidentiality antenatal care aor 223 95 ci 036 482 study found regional countrylevel disparities quality antenatal care services pregnant women poorquality antenatal care services provided twothirds threefourths antenatal care attendants therefore policymakers health planners put great deal emphasis addressing quality antenatal care services