What we know and don't know about the antenatal care service utilization in Ethiopia: a scoping review of the literature

Introduction In Ethiopia, there has been considerable recent investment and prioritization in the maternal health program. However, coverage rates have been low and stagnant for a long time, indicating the existence of systemic utilization barriers. Therefore, it is fundamental to synthesize the cur...

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Autores: Yoseph, Amanuel, Kifle, Kibru, Berego, Yohannes Seifu, Belayneh, Mehretu, Tamiso, Alemu, Mutwiri, George Kiremu, Guillén Grima, Francisco
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Universidad Pública de Navarra
Repositorio:Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
OAI Identifier:oai:academica-e.unavarra.es:2454/55448
Acceso en línea:https://hdl.handle.net/2454/55448
Access Level:acceso abierto
Palabra clave:Evidence based practice
Health care utilization
Health program
Health service
Health survey
Systematic Reviews
Meta-analyses
Pregnancy
Prenatal care
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spelling What we know and don't know about the antenatal care service utilization in Ethiopia: a scoping review of the literatureYoseph, AmanuelKifle, KibruBerego, Yohannes SeifuBelayneh, MehretuTamiso, AlemuMutwiri, George KiremuGuillén Grima, FranciscoEvidence based practiceHealth care utilizationHealth programHealth serviceHealth surveySystematic ReviewsMeta-analysesPregnancyPrenatal careIntroduction In Ethiopia, there has been considerable recent investment and prioritization in the maternal health program. However, coverage rates have been low and stagnant for a long time, indicating the existence of systemic utilization barriers. Therefore, it is fundamental to synthesize the current body of knowledge to successfully address these problems and enhance program effectiveness to increase antenatal care (ANC) uptake. Methods We conducted a scoping review of the literature. Using various combinations of search strategies, we searched Pubmed/Medline, WHO Library, ScienceDirect, Cochrane Library, Google Scholar, and Google for this review. Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) were used to conduct the review. We included studies that used any study design, data collection, and analysis methods related to antenatal care utilization. Results A total of 76 studies, national surveys, and estimates were included in this review. The analysis revealed that ANC utilization coverage varied considerably by region, from 27% in Somali to 90.6% in the Oromia region, with significant disparities in socioeconomic status, access to healthcare, and vaccination knowledge. Ten priority research areas covering various aspects of the national ANC services were identified through a comprehensive review of the existing body of knowledge led by experts using the Delphi method. Conclusion The barriers to recommended ANC service utilization differ depending on the context, suggesting that evidence-based, locally customized interventions must be developed and implemented. This review also identified evidence gaps, focusing on health system-related utilization barriers at the lower level, and identified additional research priorities in Ethiopia's ANC service. The first step in developing and executing targeted program approaches could be identifying coverage of ANC services utilization among those with disadvantages.PLOSCiencias de la SaludOsasun Zientziak2025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/ziphttps://hdl.handle.net/2454/55448reponame:Academica-e. Repositorio Institucional de la Universidad Pública de Navarrainstname:Universidad Pública de NavarraInglés© 2025 Yoseph et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:academica-e.unavarra.es:2454/554482026-06-17T12:41:47Z
dc.title.none.fl_str_mv What we know and don't know about the antenatal care service utilization in Ethiopia: a scoping review of the literature
title What we know and don't know about the antenatal care service utilization in Ethiopia: a scoping review of the literature
spellingShingle What we know and don't know about the antenatal care service utilization in Ethiopia: a scoping review of the literature
Yoseph, Amanuel
Evidence based practice
Health care utilization
Health program
Health service
Health survey
Systematic Reviews
Meta-analyses
Pregnancy
Prenatal care
title_short What we know and don't know about the antenatal care service utilization in Ethiopia: a scoping review of the literature
title_full What we know and don't know about the antenatal care service utilization in Ethiopia: a scoping review of the literature
title_fullStr What we know and don't know about the antenatal care service utilization in Ethiopia: a scoping review of the literature
title_full_unstemmed What we know and don't know about the antenatal care service utilization in Ethiopia: a scoping review of the literature
title_sort What we know and don't know about the antenatal care service utilization in Ethiopia: a scoping review of the literature
dc.creator.none.fl_str_mv Yoseph, Amanuel
Kifle, Kibru
Berego, Yohannes Seifu
Belayneh, Mehretu
Tamiso, Alemu
Mutwiri, George Kiremu
Guillén Grima, Francisco
author Yoseph, Amanuel
author_facet Yoseph, Amanuel
Kifle, Kibru
Berego, Yohannes Seifu
Belayneh, Mehretu
Tamiso, Alemu
Mutwiri, George Kiremu
Guillén Grima, Francisco
author_role author
author2 Kifle, Kibru
Berego, Yohannes Seifu
Belayneh, Mehretu
Tamiso, Alemu
Mutwiri, George Kiremu
Guillén Grima, Francisco
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Ciencias de la Salud
Osasun Zientziak
dc.subject.none.fl_str_mv Evidence based practice
Health care utilization
Health program
Health service
Health survey
Systematic Reviews
Meta-analyses
Pregnancy
Prenatal care
topic Evidence based practice
Health care utilization
Health program
Health service
Health survey
Systematic Reviews
Meta-analyses
Pregnancy
Prenatal care
description Introduction In Ethiopia, there has been considerable recent investment and prioritization in the maternal health program. However, coverage rates have been low and stagnant for a long time, indicating the existence of systemic utilization barriers. Therefore, it is fundamental to synthesize the current body of knowledge to successfully address these problems and enhance program effectiveness to increase antenatal care (ANC) uptake. Methods We conducted a scoping review of the literature. Using various combinations of search strategies, we searched Pubmed/Medline, WHO Library, ScienceDirect, Cochrane Library, Google Scholar, and Google for this review. Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) were used to conduct the review. We included studies that used any study design, data collection, and analysis methods related to antenatal care utilization. Results A total of 76 studies, national surveys, and estimates were included in this review. The analysis revealed that ANC utilization coverage varied considerably by region, from 27% in Somali to 90.6% in the Oromia region, with significant disparities in socioeconomic status, access to healthcare, and vaccination knowledge. Ten priority research areas covering various aspects of the national ANC services were identified through a comprehensive review of the existing body of knowledge led by experts using the Delphi method. Conclusion The barriers to recommended ANC service utilization differ depending on the context, suggesting that evidence-based, locally customized interventions must be developed and implemented. This review also identified evidence gaps, focusing on health system-related utilization barriers at the lower level, and identified additional research priorities in Ethiopia's ANC service. The first step in developing and executing targeted program approaches could be identifying coverage of ANC services utilization among those with disadvantages.
publishDate 2025
dc.date.none.fl_str_mv 2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2454/55448
url https://hdl.handle.net/2454/55448
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv https://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
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dc.publisher.none.fl_str_mv PLOS
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dc.source.none.fl_str_mv reponame:Academica-e. Repositorio Institucional de la Universidad Pública de Navarra
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instname_str Universidad Pública de Navarra
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