Effectiveness of Health Education Interventions Methods to Improve Contraceptive Knowledge, Attitude, and Uptake Among Women of Reproductive Age, Ethiopia: A Systematic Review and Meta-Analysis.

IF 1.5 Q3 HEALTH POLICY & SERVICES Health Services Research and Managerial Epidemiology Pub Date : 2023-01-01 DOI:10.1177/23333928221149264

Dawit Gelgelo, Sileshi Garoma Abeya, Dejene Hailu, Alo Edin, Shiferaw Gelchu

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Abstract

Background: Globally, about 600,000 women die yearly as a result of pregnancy-related causes. Access to contraceptive health education has been described as one of the crucial interventions to confront maternal mortality. Nevertheless, the effectiveness of these interventions has not been systematically reviewed.

Objective: To access the effectiveness of health education intervention methods to improve contraceptive knowledge, attitude, and uptake among reproductive age group women.

Methods: This systematic review was conducted under Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines through a systematic literature search of articles published between 2010 and 2022 comprising information on the effects of health education on contraceptive knowledge, attitude, attitude, and utilization among the reproductive age group of women. The most known bibliographic databases and libraries: PubMed/Medline, Embase, and Cochrane library were used.

Result: Eleven quasi-experimental studies fulfilled the inclusion criteria were included in the review. In a random effects model, the pooled estimate of the health education effect became 0.15 (95% CI = 0.104-0.206) at a P value of .001, and the pooled confidence intervals of the combined estimate of effect size occur on the positive side of zero. Therefore, contraceptive health education has a statistically significant positive effect on the contraceptive outcome despite variation between interventional and control groups.

Conclusion and recommendation: This review found that interactive communication supported by various health education delivery methods like brochures, booklets, peer educators, and the use of different behavioral change theories are more effective than the one-way and routine counseling of the family planning (FP) health education approach.

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改善埃塞俄比亚育龄妇女避孕知识、态度和吸收的健康教育干预方法的有效性:系统回顾和荟萃分析

背景:在全球范围内，每年约有60万妇女死于与怀孕有关的原因。获得避孕保健教育被认为是应对孕产妇死亡率的关键干预措施之一。然而，这些干预措施的有效性尚未得到系统的审查。目的:了解健康教育干预方法在提高育龄妇女避孕知识、态度和接受方面的效果。方法:本系统综述按照系统综述和荟萃分析的首选报告项目(PRISMA)指南进行，通过系统文献检索2010年至2022年间发表的文章，包括健康教育对育龄妇女避孕知识、态度、态度和使用的影响。使用了最知名的书目数据库和图书馆:PubMed/Medline、Embase和Cochrane图书馆。结果:共纳入11项符合纳入标准的准实验研究。在随机效应模型中，健康教育效应的综合估计值为0.15 (95% CI = 0.104-0.206)， P值为0.001，综合估计值的综合置信区间出现在零的正侧。因此，尽管干预组和对照组之间存在差异，但避孕健康教育对避孕结果有统计学上显著的积极影响。结论与建议:本综述发现，以各种健康教育提供方式(如小册子、小册子、同伴教育者)支持的互动交流，以及使用不同的行为改变理论，比计划生育(FP)健康教育方法的单向和常规咨询更有效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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