Community-based birth waiting homes in Northern Sierra Leone: Factors influencing women's use

Kyokan, Michiko; Whitney-Long, Melissa; Kuteh, Mabel; Raven, Joanna

doi:10.1016/j.midw.2016.04.013

Cited by 19 publications

(46 citation statements)

References 19 publications

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“…10 In contrast, no direct costs of using MWH to the woman were reported in previous studies from Timor-Leste, Ethiopia, and Sierra Leone. 11,17,21 The substantial nonmedical costs compared with medical costs among MWH users in our study were similar to the findings of a previous study from Ethiopia, which revealed that cost of transportation was the main reason for the delay of pregnant women in reaching the health facility and not using MWH. 21 A Nicaraguan study reported that more than 60% of OOP payments for delivery care were indirect expenses for MWH users, with no comparable indirect expenses for home deliveries.…”

Section: Discussionsupporting

confidence: 89%

“…For example, in our study, the medical expense of ultrasound examinations during an MWH stay was reported, whereas in Guatemala, the admitted women reported that they had to pay for the costs of their stay and meals . In contrast, no direct costs of using MWH to the woman were reported in previous studies from Timor‐Leste, Ethiopia, and Sierra Leone …”

Section: Discussioncontrasting

confidence: 62%

“…Introducing a new intervention like MWHs to a health system, however, incurs additional costs to providers and/or users . The pricing policies of MWHs and delivery care vary within and across countries ranging from free of charge as in Ethiopia and Nepal, to paying some amount of money like in Guatemala, Tanzania, and Sierra Leone, varying from a flat rate to payment per day . Considering the amount of payment for maternity services is important in order to assess the affordability and utilization of MWHs.…”

Section: Introductionmentioning

confidence: 99%

“…[4][5][6] The pricing policies of MWHs and delivery care vary within and across countries ranging from free of charge as in Ethiopia and Nepal, to paying some amount of money like in Guatemala, Tanzania, and Sierra Leone, varying from a flat rate to payment per day. [7][8][9][10][11][12] Considering the amount of payment for maternity services is important in order to assess the affordability and utilization of MWHs. The previous studies from Zambia found that women's willingness to pay for MWH utilization depended on the quality of services.…”

Section: Introductionmentioning

confidence: 99%

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Health care expenditure for delivery care between maternity waiting home users and nonusers inEthiopia

Getachew

Liabsuetrakul

2019

Health Planning & Management

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Summary Objective To compare the health care expenditures between maternity waiting home (MWH) users and nonusers in Ethiopia. Methods A cross‐sectional study was done in Ethiopia between December 2017 and June 2018. The study setting included eight health facilities in the Gurage zone of Ethiopia. Health expenditure for delivery care was the outcome variable that was then classified into out‐of‐pocket (OOP) payments, women's costs, total costs, and overall costs. Those health expenditures were then compared among MWH users and nonusers. OOP payments were further analyzed using quantile regression to explore associated factors. Results A total of 812 postpartum women were included in this study of whom half were MWH users. Significantly higher OOP payment, women's costs, total costs, and overall cost were found among MWH users compared with nonusers regardless of duration of MWH stay. The MWH users were more likely to have higher OOP payment compared with MWH nonusers in linear and quantile regressions for both unadjusted and adjusted analyses. Higher OOP payments were observed for longer distance traveled and cesarean section (CS) delivery women at the 75th and 90th quantiles of expenditure. Using public transportation was significantly associated with higher OOP payment in all quantile levels. Conclusion Utilization of MWH incurred higher OOP payments, total costs, women's costs, and overall costs compared with MWH nonusers. Higher OOP payments for delivery care among MWH users were observed in all quantiles of expenditure.

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Section: Discussionsupporting

confidence: 89%

Section: Discussioncontrasting

confidence: 62%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Health care expenditure for delivery care between maternity waiting home users and nonusers inEthiopia

Getachew

Liabsuetrakul

2019

Health Planning & Management

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“…Past experience of childbirth, distance and cost of transportation to health facility were equally associated with ANC use [13]. Previous studies found that Income and education for women affect WTP for maternal health [6,14].…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Women-Willingness to Pay for Maternal, Neonatal andChild Health Services (MNCH) in Gombe State, Nigeria

Yahya¹,

Pumpaibool²

2017

J Women's Health Care

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Background: Gombe State in North Eastern Nigeria is one of the states in the region that records the highest maternal and new-born death rates in the world. The region has a maternal mortality ratio of 1549/100,000, child mortality rate of 260/1,000 and neonatal mortality rate of 43/1,000. With a poverty incidence of 72.2% in the state and the displacement due to insurgency, a great deal of women in the villages is vulnerable to more poverty and maternal deaths. Establishing the factors that affect the willingness to pay (WTP) for maternal services will help to improve maternal health services thereby reducing maternal deaths in the state. This study looked at the factors that affect women's willingness to pay for maternal services in relation to antenatal care (ANC), delivery in health facilities and post-natal care (PNC) through a baseline survey.Methods: This study was cross sectional where data were collected from women groups (including women not registered with the groups) in two purposively selected Local Government Areas (LGAs) of the state. Seven hundred and fifty (750) women were sampled for the survey in the two LGAs. The main outcome variables are utilization of maternal service (specifically improved antenatal care attendance, facility delivery and postnatal care) and WTP for these services by the women. Descriptive statistics of the respondents were analysed using IBM SPSS 22 software. Logistic regression analysis was done to determine the factors affecting WTP for the maternal services. Results:The findings from this study have shown statistically significant association between WTP for maternal health care and several factors. Women are more likely to be willingness to pay for ANC and delivery in the health facility if they belong to the savings and loans group (p<0.05), had an average of 1-10 visits to a facility, married (p<0.05), can read and write in English (p<0.05) and live near health facilities (p<0.05). Income and employment (p<0.05) are additional factors affecting WTP for delivery. Post-natal care on the other hand was only associated with membership of savings and loans group. Conclusions:Factors associated with the willingness to pay ANC and delivery in health facilities according to the findings of this study were membership of savings and loans group, closeness to a health facility, education, income and marital status. Number of previous visits to the health facility and occupation were also found to be significant predictors of willingness to pay for maternal services. Further studies on the association of WTP and PNC are suggested in order to improve PNC in the state.

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Research implementation and evaluation of the maternity waiting home program for enhancing maternal health in remote area of Indonesia

Dewi¹,

Sugiyo²,

Sundari³

et al. 2023

Clinical Epidemiology and Global Health

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Community-based birth waiting homes in Northern Sierra Leone: Factors influencing women's use

Cited by 19 publications

References 19 publications

Health care expenditure for delivery care between maternity waiting home users and nonusers inEthiopia

Health care expenditure for delivery care between maternity waiting home users and nonusers inEthiopia

Factors Affecting Women-Willingness to Pay for Maternal, Neonatal andChild Health Services (MNCH) in Gombe State, Nigeria

Research implementation and evaluation of the maternity waiting home program for enhancing maternal health in remote area of Indonesia

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