Cochrane · systematic review · CD010994
Health system and community level interventions for improving antenatal care coverage and health outcomes
Mbuagbaw, L, Medley, N, Darzi, AJ, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library
Pregnancy and ChildbirthAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
12
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 2 · 14.3%Very low 0 · 0%Low 2 · 14.3%Moderate 7 · 50%High 3 · 21.4%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
One intervention versus no intervention
Population: improving antenatal care coverage and health outcomes among pregnant women
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
ANC coverage: four or more visits One intervention vs no intervention | OR 1.11 [1.01, 1.22] | 10 studies · 45022 participants | High |
Pregnancy‐related deaths One intervention vs no intervention | OR 0.69 [0.45, 1.08] | 10 studies · 114930 participants | Low Downgraded: inconsistency |
ANC coverage: one or more visits One intervention vs no intervention | OR 1.68 [1.02, 2.79] | 6 studies · 19281 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Deliveries in a health facility One intervention vs no intervention | OR 1.08 [1.02, 1.15] | 10 studies · 74299 participants | High |
Perinatal mortality One intervention vs no intervention | OR 0.96 [0.89, 1.03] | 15 studies · 189164 participants | Moderate Downgraded: inconsistency |
Low birthweight One intervention vs no intervention | OR 0.94 [0.82, 1.06] | 5 studies · 27154 participants | High |
Intermittent Prophylactic Treatment for malaria One intervention vs no intervention | no estimate extracted | 0 studies · 0 participants | Ungraded |
Combination of interventions versus no intervention
Population: improving antenatal care coverage and health outcomes among pregnant women
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
ANC coverage: four or more visits Combination of interventions vs no intervention | OR 1.48 [0.99, 2.21] | 6 studies · 7840 participants | Low |
Pregnancy‐related deaths Combination of interventions vs no intervention | OR 0.7 [0.39, 1.26] | 3 studies · 13756 participants | Moderate Downgraded: imprecision, inconsistency |
ANC coverage: one or more visits Combination of interventions vs no intervention | OR 1.79 [1.47, 2.17] | 5 studies · 12426 participants | Moderate Downgraded: imprecision, inconsistency |
Deliveries in a health facility Combination of interventions vs no intervention | no estimate extracted | 5 studies · 12314 participants | Moderate Downgraded: imprecision, inconsistency |
Perinatal mortality Combination of interventions vs no intervention | no estimate extracted | 5 studies · 39130 participants | Moderate Downgraded: imprecision, inconsistency |
Low birthweight Combination of interventions vs no intervention | no estimate extracted | 2 studies · 2084 participants | Moderate |
Intermittent Prophylactic Treatment for malaria Combination of interventions vs no intervention | no estimate extracted | 0 studies · 0 participants | Ungraded |