Determinants of maternity waiting home utilization in Sidama Zone, Southern Ethiopia: A cross-sectional study

Tenaw, Zelalem; Fikre, Rekiku; Gemeda, Hirut; Astatkie, Ayalew

doi:10.1371/journal.pone.0264416

Cited by 3 publications

(3 citation statements)

References 23 publications

(26 reference statements)

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“…35 The lack of awareness of MWHs can be addressed by providing health education and empowerment among pregnant women. 36 Similar to the participants expressing concerns regarding the theft of property and food because of a lack of lockable lockers, Chibuye et al 5 highlighted the need to strengthen privacy and security measures in order for MWHs to reach their intended potential. In addition, some participants had to face financial constraints during their stay in the MWH as they were not employed and had to travel long distances to the waiting home.…”

Section: Discussionmentioning

confidence: 98%

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Perspectives of pregnant women on the utilisation of a maternity waiting home near Onandjokwe Lutheran Hospital in Oshikoto Region, Namibia

Ashipala,

Joel,

Pretorius

2024

South African Family Practice

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Background: Despite the efforts of Namibia’s Ministry of Health and Social Services to build maternity waiting homes (MWHs), few pregnant women make use of them. Long distances among the general population in Namibia limit the utilisation of MWHs. Little research has investigated what factors are limiting the use of these facilities despite the urgent need for them. The aim of this study thus was to explore and describe the perspectives of pregnant women on the utilisation of the MWHs near Onandjokwe Lutheran Hospital in Oshikoto Region.Methods: A qualitative, exploratory, descriptive and contextual design was employed. The accessible population in this study comprised 18 participants who were selected for the study using a purposive sampling technique.Results: Participants reported numerous barriers to visiting MWHs in Namibia, including an inadequate number of rooms, theft, food scarcity and the effects of poverty on the living conditions of the MWH users. Enablers visiting MWHs included the safe delivery of babies by skilled staff, reduced transport costs, access to timely management of labour complications and affordable accommodation.Conclusion: The study revealed that a number of barriers must be overcome before the desired number of women take advantage of MWHs. Multiple factors act as constraints to their use, including inadequate number of rooms, theft, food scarcity and the long distance between patients’ homes and MWH services.Contribution: The study’s findings can be used to develop targeted interventions and strategies that can be used by MWH providers to address the identified barriers.

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Section: Discussionmentioning

confidence: 98%

“… 35 The lack of awareness of MWHs can be addressed by providing health education and empowerment among pregnant women. 36 …”

Section: Discussionmentioning

confidence: 99%

Perspectives of pregnant women on the utilisation of a maternity waiting home near Onandjokwe Lutheran Hospital in Oshikoto Region, Namibia

Ashipala,

Joel,

Pretorius

2024

South African Family Practice

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“…Similarly, minorities in high-income countries are deprived of healthcare access due to catastrophic out-of-pocket expenditures [46]. Overall, strengthening and scaling up alternative means of supporting these marginalized groups, such as 'maternity waiting home' programs [47][48][49], could reduce out-of-pocket expenditures and increase the EmONC service utilization.…”

Section: Healthcare Financingmentioning

confidence: 99%

Barriers and enablers to emergency obstetric and newborn care services use in Wolaita Zone, Southern Ethiopia: a qualitative case study

2022

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Background Globally, 11.4 million untreated obstetric complications did not receive Emergency Obstetric and Newborn Care (EmONC) services yearly, with the highest burden in low and middle-income countries. Half of the Ethiopian women with obstetric complications did not receive EmONC services. However, essential aspects of the problem have not been assessed in depth. This study, therefore, explored the various aspects of barriers and enablers to women’s EmONC services utilization in southern Ethiopia. Methodology A qualitative case study research design was used in nine districts of the Wolaita Zone. A total of 37 study participants were selected using a purposive stratified sampling technique and interviewed till data saturation. Twenty-two key informant interviews were conducted among front-line EmONC service providers, managers, community leaders, and traditional birth attendants (TBAs). Individual in-depth interviews were conducted among 15 women with obstetric complications. The trustworthiness of the research was assured by establishing credibility, transferability, conformability, and dependability. NVivo 12 was used to assist with the thematic data analysis. Result Five themes emerged from the analysis: service users’ perception and experience (knowledge, perceived quality, reputation, respectful care, and gender); community-related factors (misconceptions, traditional practices, family and peer influence, and traditional birth attendants’ role); access and availability of services (infrastructure and transportation); healthcare financing (drugs and supplies, out-of-pocket expenses, and fee exemption); and health facility-related factors (competency, referral system, waiting time, and leadership). Conclusion Many women and their newborns in the study area suffered severe and life-threatening complications because of the non-utilization or delayed utilization of EmONC services. A key policy priority should be given to enhancing women’s awareness, eliminating misconceptions, improving women’s autonomy, and ensuring traditional practices’ role in EmONC service utilization. Community awareness interventions are required to enhance service uptake. Furthermore, the health systems must emphasize improving the quality of care, inequitable distribution of EmONC facilities, and essential drugs. The financial constraints need to be addressed to motivate women from low socioeconomic status. Furthermore, intersectoral collaboration is required to maintain a legal framework to control and prohibit home deliveries and empower women.

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Factors associated with knowledge and attitude towards maternity waiting homes among pregnant women: baseline results from a cluster-randomized trial in rural Ethiopia

Yarinbab¹,

Gesesew²,

Harrison³

et al. 2023

Sci Rep

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Ethiopia has implemented maternity waiting homes over the last several decades; however, its utilization is low. This study aimed to assess the factors associated with knowledge of and attitude towards maternity waiting homes among pregnant women in rural Ethiopia. The baseline survey was conducted from September 15 to October 30, 2022, in rural Southern Ethiopia. Survey data were collected from 320 women in their second trimester of pregnancy. The data analysis was performed using SPSS version 25. The mean age of the participants was 27.79 (SD ± 6.242) years. Nearly two-thirds (57.5%) of the participants had no formal education and more than three-fourths (72.5%) were housewives. Only approximately one-fourth (23.75%) of the participants used maternity waiting homes. Furthermore, 33.75% had good knowledge, 28.75% had favorable attitudes, and around one-fourth (26.25%) had good male partner involvement. Age group 30 to 39 years (AOR 4.78, 95% CI 1.12–20.36), household income (AOR 6.41, 95% CI 2.78–14.81), having pregnancy intention (AOR 2.63, 95% CI 1.21–5.73), and history of obstetric complications (AOR 6.72, 95% CI 2.81–16.07) were significantly associated with good knowledge about maternity waiting homes. Similarly, age group 30 to 39 years (AOR 4.23, 95% CI 1.14–15.65), household income (AOR 7.12, 95% CI 3.26–15.55), having pregnancy intention (AOR 2.57, 95% CI 1.21–5.47), and history of obstetric complications (AOR 5.59, 95% CI 2.30–13.59) were significantly associated with favorable attitudes towards maternity waiting homes. Providing health education and promoting male partner participation through educating couples may improve women’s access to maternity waiting homes.

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Determinants of maternity waiting home utilization in Sidama Zone, Southern Ethiopia: A cross-sectional study

Cited by 3 publications

References 23 publications

Perspectives of pregnant women on the utilisation of a maternity waiting home near Onandjokwe Lutheran Hospital in Oshikoto Region, Namibia

Perspectives of pregnant women on the utilisation of a maternity waiting home near Onandjokwe Lutheran Hospital in Oshikoto Region, Namibia

Barriers and enablers to emergency obstetric and newborn care services use in Wolaita Zone, Southern Ethiopia: a qualitative case study

Factors associated with knowledge and attitude towards maternity waiting homes among pregnant women: baseline results from a cluster-randomized trial in rural Ethiopia

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