Based on the synthesis of findings from this systematic review, the following recommendations are proposed to improve the effectiveness

The gap

Evidence profile

Sourced from the recommendations of the source papers, classified as general, spanning 3 journals.

Supporting evidence — 3 representative gaps

• Effectiveness of Health Education Campaigns on Antenatal Care Utilization in Low- and Middle-Income Countries: A Systematic Review (2026) · African Journal of Medicine Surgery and Public Health Research · doi

  Based on the synthesis of findings from this systematic review, the following recommendations are proposed to improve the effectiveness of health education campaigns and enhance antenatal care utilization in low- and middle-income countries. Strengthening Community Based Maternal Health Education Programs 272 African Journal of Medicine, Surgery and Public Health Research

  generalrecommendations
  Keywords: health based education synthesis systematic review following recommendations proposed improve effectiveness campaigns enhance antenatal care
• Determinants of Skilled Birth Attendance and Institutional Delivery in Nigeria: Analysis of NDHS 2018 and 2023 (2026) · International Journal of Public Health and Nursing · doi

  Recommendations include expanding girls’ education, strengthening improving antenatal care coverage and quality, scaling pro-poor financing mechanisms, addressing cultural barriers through community engagement, enhancing workforce distribution, and investing in data systems. These equity- focused strategies are essential to improve maternal survival and achieve national and global health goals while ensuring inclusive, sustainable, and regionally tailored implementation across all population groups nationwide. REFERENCES Abegunde, D. O., Aremu, O., & Adebayo, A. M. (2023).

  generalrecommendations
  Keywords: recommendations include expanding girls education strengthening improving antenatal care coverage quality scaling poor financing mechanisms
• UTILIZATION OF POSTNATAL CARE SERVICES AND ASSOCIATED FACTORS AMONG WOMEN IN SHAO, MORO LGA, KWARA STATE (2026) · Nigerian Journal of Social Health · doi

  Health professionals should conduct regular community outreaches, particularly in rural areas where uptake of postnatal care remains low. The government should strengthen policies to ensure adequate health facilities and human resources are available in underserved regions. Health workers should be sensitized to understand the expectations of postpartum mothers and ensure consistent, respectful, and need-based service provision. 74 ISSN 2008 – 7038 Nigerian Journal of Social Health (NJSH) Vol 4 (1) 62 - 76 REFERENCES Adane, B., Fisseha, G., Walle, G., & Yalew, M. (2020). Factors associated with postnatal care utilization among postpartum women in Ethiopia: A multi-level analysis of the 2016 Ethiopia Demographic and Health Survey. Archives of Public Health, 78, 415. Aimagambetova, G., Bapayeva, G., Sakhipova, G., & Terzic, M. (2024). Management of postpartum hemorrhage in low- and middle-income countries: Emergency need for updated approach due to specific circumstances, resources, and availabilities. Journal of Clinical Medicine, 13(23), 7387. Banke-Thomas, A., Ayomoh, F., Abejirinde, I., Banke-Thomas, O., Eboreime, E., & Ameh, C. (2021). Cost of utilising maternal health services in low- and middle-income countries: A systematic review. International Journal of Health Policy and Management, 10(9), 564–577. Bossman, E., Johansen, M., & Zanaboni, P. (2022). mHealth interventions to reduce maternal and child mortality in Sub-Saharan Africa and Southern Asia: A systematic literature review. Frontiers in Global Women’s Health, 3, 942146. Fetene, S., & Gebremedhin, T. (2022). Uptake of postnatal care and its determinants in Ethiopia: A positive deviance approach. BMC Pregnancy and Childbirth, 22, 539. Heller, D., Cramer, S., & Turner, B. (2023). Abnormal uterine involution may lead to atony and the evidence. Pediatric and postpartum hemorrhage: A hypothesis, with review of Developmental Pathology, 26(5), 429–436. Mwebesa, E., Kagaayi, J., Ssebagereka, A., Nakafeero, M., Ssenkusu, J., Guwatudde, D., & Tumwesigye, N. (2022). Effect of four or more antenatal care visits on facility delivery and early postnatal care services utilization in Uganda: A propensity score matched analysis. BMC Pregnancy and Childbirth, 22, 27. Nabawanuka, B., Asiimwe, M., Irumba, P., Aryampa, J., Wasswa, G., Muhoozi, M., Amumpaire, P., Acen, J., Katusabe, S., Tusabe, J., & Epuitai, J. (2024). Prevalence and factors associated with puerperal sepsis among postnatal women at a tertiary referral hospital in western Uganda. PLOS ONE, 20, e0311708. Olajubu, A., Olowokere, A., Ogundipe, M., & Olajubu, T. (2019). Predictors of postnatal care services utilization among women in Nigeria: A facility-based study. Journal of Nursing Scholarship, 51(6), 639–647. Oladipo, I., & Akinwaare, M. (2023). Trends and patterns of maternal deaths from 2015 to 2019, associated factors and pregnancy outcomes in rural Lagos, Nigeria: A cross-sectional study. Pan African Medical Journal,

  generalrecommendations
  Keywords: health postnatal care journal postpartum women factors associated utilization among ethiopia maternal services review pregnancy

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