PDF(Pubmed)
Abstract：
UNASSIGNED: Maternal health service uptake remains an important predictor of maternal outcomes including maternal mortality. This systematic review and meta-analysis aimed to summarize the available evidence on the uptake of maternal health care services in developing countries and to assess the impact of place of residence, education status, and wealth index on the uptake of these services.
UNASSIGNED: We examined the databases MEDLINE, Web of Science, Global Index Medicus, and Scopus until June 14, 2022. Cross-sectional studies done between 2015 and 2022 were considered. Mothers of reproductive age and all states of health were included in the study. Independently, two authors determined the eligibility of studies, extracted data, evaluated the risk of bias, and ranked the evidence\'s degree of certainty. To combine the data, we performed a random-effects meta-analysis. The PROSPERO registration ID is CRD42022304094.
UNASSIGNED: We included 51 studies. Mothers living in urban areas were three times more likely to receive antenatal care (OR 2.95; 95% CI 2.23 to 3.89; 15 studies; 340,390 participants) than rural mothers. Compared with no education, those with primary education were twice as likely to utilize antenatal care (OR 2.36; 95% CI 1.80 to 3.09; 9 studies; 154,398 participants) and those with secondary and higher education were six and fourteen times more likely to utilize antenatal care, respectively. Mothers in the second wealth index were twice as likely as mothers in the lowest wealth index to utilize antenatal care (OR 1.62; 95% CI 1.36 to 1.91; 10 studies; 224,530 participants) and antenatal care utilization increased further among mothers in the higher wealth index. We observed similar relative inequalities in skilled delivery care and postnatal care utilization based on the pace of residence, education, and wealth index.
UNASSIGNED: In developing countries, the problem of inequity in utilizing maternal health care services persists and needs considerable attention.
UNASSIGNED: We examined the databases MEDLINE, Web of Science, Global Index Medicus, and Scopus until June 14, 2022. Cross-sectional studies done between 2015 and 2022 were considered. Mothers of reproductive age and all states of health were included in the study. Independently, two authors determined the eligibility of studies, extracted data, evaluated the risk of bias, and ranked the evidence\'s degree of certainty. To combine the data, we performed a random-effects meta-analysis. The PROSPERO registration ID is CRD42022304094.
UNASSIGNED: We included 51 studies. Mothers living in urban areas were three times more likely to receive antenatal care (OR 2.95; 95% CI 2.23 to 3.89; 15 studies; 340,390 participants) than rural mothers. Compared with no education, those with primary education were twice as likely to utilize antenatal care (OR 2.36; 95% CI 1.80 to 3.09; 9 studies; 154,398 participants) and those with secondary and higher education were six and fourteen times more likely to utilize antenatal care, respectively. Mothers in the second wealth index were twice as likely as mothers in the lowest wealth index to utilize antenatal care (OR 1.62; 95% CI 1.36 to 1.91; 10 studies; 224,530 participants) and antenatal care utilization increased further among mothers in the higher wealth index. We observed similar relative inequalities in skilled delivery care and postnatal care utilization based on the pace of residence, education, and wealth index.
UNASSIGNED: In developing countries, the problem of inequity in utilizing maternal health care services persists and needs considerable attention.
摘要：
孕产妇保健服务的接受仍然是孕产妇结局（包括孕产妇死亡率）的重要预测指标。本系统综述和荟萃分析旨在总结发展中国家接受孕产妇保健服务的现有证据，并评估居住地的影响，教育状况,和财富指数对这些服务的吸收。
■我们检查了MEDLINE数据库，WebofScience,全球指数Medicus，和Scopus，直到2022年6月14日。考虑了2015年至2022年之间进行的横断面研究。该研究包括育龄母亲和所有健康状况。独立地,两位作者确定了研究的资格，提取的数据，评估了偏见的风险，并对证据的确定程度进行排名。要合并数据，我们进行了随机效应荟萃分析.PROSPERO注册ID是CRD42022304094。
■我们纳入了51项研究。生活在城市地区的母亲接受产前护理的可能性是农村母亲的三倍（OR2.95；95％CI2.23至3.89；15项研究；340,390名参与者）。与没有教育相比，受过初等教育的人使用产前保健的可能性是后者的两倍(OR2.36;95%CI1.80至3.09;9项研究;154,398名参与者)，受过中等和高等教育的人使用产前保健的可能性是前者的6倍和14倍，分别。第二财富指数中的母亲利用产前护理的可能性是财富指数最低的母亲的两倍（OR1.62;95％CI1.36至1.91;10项研究;224,530名参与者），在财富指数较高的母亲中，产前护理利用率进一步增加。我们观察到基于居住速度的熟练分娩护理和产后护理利用类似的相对不平等，教育,财富指数。
■在发展中国家，利用孕产妇保健服务的不平等问题仍然存在，需要给予相当大的关注。
■我们检查了MEDLINE数据库，WebofScience,全球指数Medicus，和Scopus，直到2022年6月14日。考虑了2015年至2022年之间进行的横断面研究。该研究包括育龄母亲和所有健康状况。独立地,两位作者确定了研究的资格，提取的数据，评估了偏见的风险，并对证据的确定程度进行排名。要合并数据，我们进行了随机效应荟萃分析.PROSPERO注册ID是CRD42022304094。
■我们纳入了51项研究。生活在城市地区的母亲接受产前护理的可能性是农村母亲的三倍（OR2.95；95％CI2.23至3.89；15项研究；340,390名参与者）。与没有教育相比，受过初等教育的人使用产前保健的可能性是后者的两倍(OR2.36;95%CI1.80至3.09;9项研究;154,398名参与者)，受过中等和高等教育的人使用产前保健的可能性是前者的6倍和14倍，分别。第二财富指数中的母亲利用产前护理的可能性是财富指数最低的母亲的两倍（OR1.62;95％CI1.36至1.91;10项研究;224,530名参与者），在财富指数较高的母亲中，产前护理利用率进一步增加。我们观察到基于居住速度的熟练分娩护理和产后护理利用类似的相对不平等，教育,财富指数。
■在发展中国家，利用孕产妇保健服务的不平等问题仍然存在，需要给予相当大的关注。
