Intention to use maternity waiting home and associated factors among pregnant women in Gamo Gofa zone, Southern Ethiopia, 2019

Abstract

Background A maternity waiting home is a temporary residence in which pregnant women from remote areas wait for their childbirth. It is an approach targeted to advance access to emergency obstetric care services especially, in hard-to-reach areas to escalate institutional delivery to reduce complications that occur during childbirth. Apart from the availability of this service, the intention of pregnant women to utilize the existing service is very important to achieve its goals. Thus, this study aimed to assess the intention to use maternity waiting homes and associated factors among pregnant women. Methods Community-based cross-sectional study was conducted among 605 pregnant women using a multistage sampling technique from March 10 to April 10, 2019, by using a structured questionnaire through a face-to-face interview. The collected data was entered into Epi-Data version 3.1 and analyzed using the SPSS version 24 statistical package. Logistic regression analysis was used to test the association. All variables at p-value < 0.25 in bivariate analysis were entered into multivariate analysis. Lastly, a significant association was declared at a P-value of < 0.05 with 95% CI. Results In this study, the intention to use maternity waiting homes was 295(48.8%, 95%CI: 47%-55%)). Occupation (government employee) (AOR:2.87,95%CI: 1.54–5.36), previous childbirth history (AOR:2.1,95%CI:1.22–3.57), past experience in maternity waiting home use AOR:4.35,95%CI:2.63–7.18), direct (AOR:1.57,95%CI:1.01–2.47) and indirect (AOR: 2.18, 1.38,3.44) subject norms and direct (AOR:3.00,95%CI:2.03–4.43), and indirect (AOR = 1.84,95%CI:1.25–2.71) perceived behavioral control of respondents were significantly associated variables with intention to use maternity waiting home. Conclusion The magnitude of intention to use maternity waiting homes among pregnant women is low. Community disapproval, low self-efficacy, maternal employment, history of previous birth, and past experiences of MWHs utilization are predictors of intention to use MWHs, and intervention programs, such as health education, strengthening and integration of community in health system programs need to be provided.

Maternity waiting homes utilization and associated factors among childbearing women in rural settings of Finfinnee special zone, central Ethiopia: A community based cross-sectional study

“…This also suggests that if MWHs performed well enough in the country, institutional delivery and accessible maternal health services might be improved as more housewives reside in rural settings and have low access to a health facility. The result is in line with the study conducted in Jimma [ 20 ] but contrary to the finding from the study in Gamo Gofa, southern Ethiopia [ 12 ]. The results also supported the finding of this study that women whose husbands were non-farmer were 82% less likely to utilize MWHs than those with farmer husbands.…”

“…The difference might also be due to the study settings difference that central Ethiopia has more institutional delivery and more exposure to information on MWHs service than southern Ethiopia [ 26 ]. However, the result is lower than the studies conducted in Jimma [ 13 ], Benchi Maji [ 15 ], Keffa [ 27 ], Gamo Goffa [ 12 ], and East Bellesa [ 14 ], where 38.7%, 39%, 42.5%, 48.8%, and 65.3% of the pregnant women were intended to use the MWHs for their most recent delivery, respectively. This shows the different intention towards the MWHs among different settings of Ethiopia and the huge gap between actual use and the intended use of MWHs throughout the country.…”

“…A face-to-face interview of 30 min was employed to collect data using a pretested and structured questionnaire adapted after reviewing literature with a related topic and conceptualizing the factors significantly associated with MWHs utilization [ 12 – 15 , 20 , 23 ]. The questions were designed in such a way that the interviewer and the respondents easily understood what was intended to ask.…”

“…Studies in Gamo Gofa [ 12 ], Jimma [ 13 ], northwest Ethiopia [ 14 ], and Benchi Maji, southern Ethiopia [ 15 ] assessed the intention of pregnant women to use MWHs. The studies showed that women’s childbirth history, experience in MWH use, perceived behavioural control, having companions for facility visits, wealth status, ANC use, decision-making power for service use were determinants for intention to use MWH [ 12 – 16 ].…”

Maternity Waiting Home Interventions as a Strategy for Improving Birth Outcomes: A Scoping Review and Meta-Analysis

“…All 66 records retrieved were observational. There was great variance in terms of study design, with cohort studies [ 9 10 11 12 13 14 15 16 17 18 ], cross-sectional studies [ 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 ], intervention studies [ 40 41 42 43 44 45 46 47 48 49 50 ], and unspecified studies included [ 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 ]. Of the 66 studies, only one mentioned any kind costing analysis of MWHs [ 47 ].…”