Barriers to the use of maternity waiting homes in indigenous regions of Guatemala: a study of users' and community members' perceptions

Ruiz, Marta Julia; Dijk, Marieke G. van; Berdichevsky, Karla; Munguía, A. M García; Burks, Courtney; García, Sandra G.

doi:10.1080/13691058.2012.751128

Cited by 49 publications

(87 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Some specifically targeted conflict areas, indigenous women, the socially excluded, or poor people. [17, 24, 25] Depending on the location of the MWH, women travelled from less than 5 km to 400 km to reach the closest MWH [10, 15]. Along with large distances, several studies reported women having to cross difficult terrain to reach the facility.…”

Section: Resultsmentioning

confidence: 99%

“…A number of articles reported community support and contribution to the setup and ongoing running of the MWH. The need for the community to be involved in the set up and maintenance of the MWH was identified in three studies, and six studies identified the absence of community involvement as a reason for low utilization of the MWH programme [13, 17, 26–29]. …”

Section: Resultsmentioning

confidence: 99%

“…In the past, MWH programmes targeted women most at risk of developing obstetric complications [10–14]. More recently, the focus has expanded to all pregnant women who would otherwise have problems accessing facilities for birth [3, 10, 15–17]. …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Understanding the implementation of maternity waiting homes in low- and middle-income countries: a qualitative thematic synthesis

Penn‐Kekana

Pereira

Hussein

et al. 2017

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

BackgroundMaternity waiting homes (MWHs) are accommodations located near a health facility where women can stay towards the end of pregnancy and/or after birth to enable timely access to essential childbirth care or care for complications. Although MWHs have been implemented for over four decades, different operational models exist. This secondary thematic +analysis explores factors related to their implementation.MethodsA qualitative thematic analysis was conducted using 29 studies across 17 countries. The papers were identified through an existing Cochrane review and a mapping of the maternal health literature. The Supporting the Use of Research Evidence framework (SURE) guided the thematic analysis to explore the perceptions of various stakeholders and barriers and facilitators for implementation. The influence of contextual factors, the design of the MWHs, and the conditions under which they operated were examined.ResultsKey problems of MWH implementation included challenges in MWH maintenance and utilization by pregnant women. Poor utilization was due to lack of knowledge and acceptance of the MWH among women and communities, long distances to reach the MWH, and culturally inappropriate care. Poor MWH structures were identified by almost all studies as a major barrier, and included poor toilets and kitchens, and a lack of space for family and companions. Facilitators included reduced or removal of costs associated with using a MWH, community involvement in the design and upkeep of the MWHs, activities to raise awareness and acceptance among family and community members, and integrating culturally-appropriate practices into the provision of maternal and newborn care at the MWHs and the health facilities to which they are linked.ConclusionMWHs should not be designed as an isolated intervention but using a health systems perspective, taking account of women and community perspectives, the quality of the MWH structure and the care provided at the health facility. Careful tailoring of the MWH to women’s accommodation, social and dietary needs; low direct and indirect costs; and a functioning health system are key considerations when implementing MWH. Improved and harmonized documentation of implementation experiences would provide a better understanding of the factors that impact on successful implementation.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Understanding the implementation of maternity waiting homes in low- and middle-income countries: a qualitative thematic synthesis

Penn‐Kekana

Pereira

Hussein

et al. 2017

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…Culturally safe care to improve the healthcare experience of Indigenous peoples has been recommended and attempted in multiple countries, including Canada, Guatemala, Australia, Mexico, and the United States of America 70,71,[76][77][78][79][80][81][82][83][84][85] . Some of these initiatives have resulted in reports of positive patient experiences, but futher areas of improvement have been identified to increase respect of Indigenous peoples and recognition of traditional knowledge [86][87][88][89] .…”

Section: Discussionmentioning

confidence: 99%

Canadian Indigenous Womens Perspectives of Maternal Health and Health Care Services: A Systematic Review

Sharma¹,

Kolahdooz²,

Launier³

et al. 2016

Divers Equal Health Care

View full text Add to dashboard Cite

Development of policies and interventions to address health disparities between Indigenous and non-Indigenous populations requires a comprehensive understanding of Indigenous people's experiences and perspectives of healthcare services. We systematically reviewed the published literature on Canadian Indigenous women's experiences and perspectives of maternal healthcare during pregnancy, childbirth, and the postpartum period. Major bibliographic databases (including PubMed, CINAHL, EMBASE, SCOPUS, and SSCI) were searched for published studies (1990( -March 2015 in English. Reference lists of identified articles were searched to identify additional articles. 92 articles were retrieved for further review, of which 16 studies were included: 8 on maternal healthcare and/or medical evacuation; 3 on gestational diabetes mellitus; 3 on the impact of policies on maternal health; and 2 on maternal weight changes and/or breastfeeding. The included studies described 1043 participants: Indigenous peoples (n=918) and non-Indigenous peoples (n=125) who were mothers or pregnant women (n=814), healthcare providers or workers in a health-related field (n=132), and fathers, Elders, or other community members (n=97). Availability of healthcare resources, healthcare services' consideration of socio-economic or lifestyle barriers to health, and the impact of colonization on interactions with healthcare providers were main factors that impacted Indigenous women's maternal health experiences. Medical evacuation was often due to limited maternity care options available in remote communities, and was associated with emotional, physical, and financial stress. This review highlights the importance of consistent health policies and practices for maternal health in Canada and providing culturally safe and patient-centered maternity healthcare services within indigenous communities.

show abstract

“…Our field observations suggest that expectant mother homes are underutilized because of the need to provide food and other supplies to the pregnant woman, and because a prolonged stay removes the woman from home care and other productive activities in which local women typically engage until the day of delivery. 24 Nonetheless, compared with many other parts of Mozambique and of rural Sub-Saharan Africa, the area has a considerable penetration of maternal and child health services; the vast majority of pregnant women receive at least one antenatal consultation, and a high share of births take place in health facilities. Yet, despite considerable progress in provision of maternal and child health services and continuing efforts to ensure universal institutional deliveries, a substantial fraction of births still occur outside the clinic walls.…”

Section: Settingmentioning

confidence: 99%

Place, Time and Experience: Barriers to Universalization Of Institutional Child Delivery in Rural Mozambique

Agadjanian¹,

Yao²,

Hayford³

2016

International Perspectives on Sexual and Reproductive Health

View full text Add to dashboard Cite

CONTEXT Although institutional coverage of childbirth is increasing in the developing world, a substantial minority of births in rural Mozambique still occur outside of health facilities. Identifying the remaining barriers to safe professional delivery services can aid in achieving universal coverage. METHODS Survey data collected in 2009 from 1,373 women in Gaza, Mozambique, were used in combination with spatial, meteorological and health facility data to examine patterns in place of delivery. Geographic information system–based visualization and mapping and exploratory spatial data analysis were used to outline the spatial distribution of home deliveries. Multilevel logistic regression models were constructed to identify associations between individual, spatial and other characteristics and whether women’s most recent delivery took place at home. RESULTS Spatial analysis revealed high- and low-prevalence clusters of home births. In multivariate analyses, women with a higher number of clinics within 10 kilometers of their home had a reduced likelihood of home delivery, but those living closer to urban centers had an increased likelihood. Giving birth during the rainy, high agricultural season was positively associated with home delivery, while household wealth was negatively associated with home birth. No associations were evident for measures of exposure to and experience with health institutions. CONCLUSIONS The results suggest the need for a comprehensive approach to expansion of professional delivery services. Such an approach should complement measures facilitating physical access to health institutions for residents of harder-to-reach areas with community-based interventions aimed at improving rural women’s living conditions and opportunities, while also taking into account seasonal and other variables.

show abstract

Barriers to the use of maternity waiting homes in indigenous regions of Guatemala: a study of users' and community members' perceptions

Cited by 49 publications

References 8 publications

Understanding the implementation of maternity waiting homes in low- and middle-income countries: a qualitative thematic synthesis

Understanding the implementation of maternity waiting homes in low- and middle-income countries: a qualitative thematic synthesis

Canadian Indigenous Womens Perspectives of Maternal Health and Health Care Services: A Systematic Review

Place, Time and Experience: Barriers to Universalization Of Institutional Child Delivery in Rural Mozambique

Contact Info

Product

Resources

About