What does this research mean for the field?

Suboptimal antenatal care utilization in malaria-endemic countries is driven by an intersection of intrapersonal, interpersonal, institutional, and community factors, with young, single, and impoverished women being the most vulnerable. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To identify and synthesize the determinants of suboptimal antenatal care utilization among pregnant women across malaria-endemic settings.

September 5, 2026Malaria JournalOpen Access

Determinants of suboptimal antenatal care utilization in malaria-endemic countries: a systematic review and meta-analysis

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To identify and synthesize the determinants of suboptimal antenatal care utilization among pregnant women across malaria-endemic settings.
Systematic review and random-effects meta-analysis of 70 quantitative, 45 qualitative, and 14 mixed-methods studies published between 2010 and 2024 (PROSPERO CRD42023384267).
Evaluated determinants across the four levels of the Socio-Ecological Model: intrapersonal, interpersonal, institutional/policy, and community.
Intrapersonal predictors of suboptimal utilization included young maternal age, low education, limited knowledge of antenatal care, poverty, and nulli- or grand multi-parity.
Interpersonal, institutional, and community-level barriers included partner dynamics, negative healthcare experiences, poor clinic accessibility, sociocultural norms, and mandatory partner attendance policies.

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Implication

Systematic review and meta-analysis reveals multi-level barriers driving suboptimal antenatal care in malaria-endemic regions, highlighting the need for intersectoral interventions.

Cite This Study

Lufele et al. (2026) studied this question.

synapsesocial.com/papers/6a9bd48c6b95aff0620ec56b https://doi.org/10.1186/s12936-026-06125-2

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Implication

Systematic review and meta-analysis reveals multi-level barriers driving suboptimal antenatal care in malaria-endemic regions, highlighting the need for intersectoral interventions.

Determinants of suboptimal antenatal care utilization in malaria-endemic countries: a systematic review and meta-analysis

Key Points

Discussion

Implication

Cite This Study

Determinants of suboptimal antenatal care utilization in malaria-endemic countries: a systematic review and meta-analysis

Key Points

Discussion

Implication

Cite This Study

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