Growth monitoring and promotion service utilization and its associated factors among children less than two years in Ethiopia: A systematic review and meta-analysis

Growth monitoring and promotion services are strategies to promote child health and reduce child mortality. Even though Ethiopia is attempting different strategies to cope with the low rate of GMP utilization, the problem is still unresolved. Determine the pooled proportion of GMP utilization and it...

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Veröffentlicht in:PloS one 2024-11, Vol.19 (11), p.e0311531
Hauptverfasser: Simegn, Mulat Belay, Tilahun, Werkneh Melkie, Mazengia, Elyas Melaku, Haimanot, Aysheshim Belaineh, Mneneh, Anteneh Lamesgen, Mengie, Muluye Gebrie, Endalew, Bekalu, Birhanu, Molla Yigzaw, Tesfie, Tigabu Kidie, Asmare, Lakew, Geremew, Habtamu
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container_issue 11
container_start_page e0311531
container_title PloS one
container_volume 19
creator Simegn, Mulat Belay
Tilahun, Werkneh Melkie
Mazengia, Elyas Melaku
Haimanot, Aysheshim Belaineh
Mneneh, Anteneh Lamesgen
Mengie, Muluye Gebrie
Endalew, Bekalu
Birhanu, Molla Yigzaw
Tesfie, Tigabu Kidie
Asmare, Lakew
Geremew, Habtamu
description Growth monitoring and promotion services are strategies to promote child health and reduce child mortality. Even though Ethiopia is attempting different strategies to cope with the low rate of GMP utilization, the problem is still unresolved. Determine the pooled proportion of GMP utilization and its contributing factors among children less than two years in Ethiopia. The review protocol was registered with PROSPERO, number CRD42023472746. The PRISMA-2020 statement guided the conduct of this review. Electronic databases and grey literature were used. Heterogeneity was evaluated using I2. Subgroup analysis was conducted. The random effect model was used to summarize the pooled effect sizes with their respective 95% CI with STATA version 17. To test the small study effect, the funnel plot and Egger's test were applied. A total of seven (7) studies with 4027 participants were considered in this meta-analysis. The pooled proportion of GMP utilization reported by seven studies was 25.71% (95%CI: 24.39, 27.04). ANC follow-up (AOR = 2.11; 95% CI: 1.47, 2.76), PNC follow-up (AOR = 1.96; 95% CI: 1.44, 2.49), counseling (AOR = 2.88; 95% CI: 2.09, 3.68), maternal education (AOR = 2.89; 95% CI: 1.66, 4.13), paternal education (AOR = 3.78; 95% CI: 2.25, 5.32), family health card (AOR = 2.31; 95% CI: 1.67, 2.96), and mothers good knowledge towards GMP (AOR = 2.90; 95% CI: 1.72, 4.07) variables were positively associated with GMP service utilization. The pooled proportion of GMP remains low in Ethiopia. ANC and PNC follow-up, counseling, maternal and paternal education, family health cards, maternal knowledge towards GMP were significantly associated. Findings are essential for evidence-based policy making, intervention, and input for ongoing research.
doi_str_mv 10.1371/journal.pone.0311531
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Even though Ethiopia is attempting different strategies to cope with the low rate of GMP utilization, the problem is still unresolved. Determine the pooled proportion of GMP utilization and its contributing factors among children less than two years in Ethiopia. The review protocol was registered with PROSPERO, number CRD42023472746. The PRISMA-2020 statement guided the conduct of this review. Electronic databases and grey literature were used. Heterogeneity was evaluated using I2. Subgroup analysis was conducted. The random effect model was used to summarize the pooled effect sizes with their respective 95% CI with STATA version 17. To test the small study effect, the funnel plot and Egger's test were applied. A total of seven (7) studies with 4027 participants were considered in this meta-analysis. The pooled proportion of GMP utilization reported by seven studies was 25.71% (95%CI: 24.39, 27.04). ANC follow-up (AOR = 2.11; 95% CI: 1.47, 2.76), PNC follow-up (AOR = 1.96; 95% CI: 1.44, 2.49), counseling (AOR = 2.88; 95% CI: 2.09, 3.68), maternal education (AOR = 2.89; 95% CI: 1.66, 4.13), paternal education (AOR = 3.78; 95% CI: 2.25, 5.32), family health card (AOR = 2.31; 95% CI: 1.67, 2.96), and mothers good knowledge towards GMP (AOR = 2.90; 95% CI: 1.72, 4.07) variables were positively associated with GMP service utilization. The pooled proportion of GMP remains low in Ethiopia. ANC and PNC follow-up, counseling, maternal and paternal education, family health cards, maternal knowledge towards GMP were significantly associated. Findings are essential for evidence-based policy making, intervention, and input for ongoing research.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>39561142</pmid><doi>10.1371/journal.pone.0311531</doi><tpages>e0311531</tpages><orcidid>https://orcid.org/0009-0006-4101-6377</orcidid><orcidid>https://orcid.org/0000-0002-8250-125X</orcidid><oa>free_for_read</oa></addata></record>
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1932-6203
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subjects Analysis
Care and treatment
Causes of
Child Development
Children
Children & youth
Cross-sectional studies
Education
Ethiopia
Evaluation
Female
Grey literature
Growth
Health aspects
Health Promotion
Heterogeneity
Humans
Infant
Infant Health
Infant, Newborn
Kenya
Libraries
Male
Malnutrition
Malnutrition in children
Medicine and Health Sciences
Meta-analysis
Mortality
Nutrition
Nutritional status
Patient Acceptance of Health Care - statistics & numerical data
People and Places
Physical Sciences
Public health
Public health administration
Qualitative research
Research and Analysis Methods
Reviews
Social Sciences
Statistical analysis
Subgroups
Systematic review
Utilization
title Growth monitoring and promotion service utilization and its associated factors among children less than two years in Ethiopia: A systematic review and meta-analysis
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