Utilization of Non-Pneumatic Anti-Shock Garment and Associated Factors for Postpartum Hemorrhage Management among Health Care Providers in Sub-Saharan Africa: Systematic Review and Meta-Analysis

Introduction: Postpartum hemorrhage (PPH) is a leading cause of maternal mortality, accounting for approximately one-third of all pregnancy-associated deaths worldwide. Nonpneumatic anti-shock garments (NASGs) have been endorsed for managing PPH and hypovolemic surprises, yet their adoption in sub-Saharan Africa remains suboptimal. Objective To assess NASG utilization rates and identify factors hindering its adoption among healthcare providers in sub-Saharan Africa. Methods A systematic review and meta-analysis were performed following the PRISMA guidelines. The database searches retrieved 18 observational studies from sub-Saharan Africa that were published in English. The NAGG utilization rates were pooled, and factors associated with its use were examined. Results The overall percentage of patients who used NASG was 37%. Subgroup evaluation revealed the highest costs among recent studies and people with smaller sample sizes. NASG use has become notably associated with more issuer expertise, preceding training, and effective attitudes in the direction of NASG. Conclusion Although NASG adoption for PPH management in sub-Saharan Africa has increased, it remains suboptimal. Improving company expertise, training possibilities, and perceptions of NASG represents a practical strategy to facilitate its wider uptake and reduce preventable maternal mortality.