Poverty reduces maternity waiting home utilization in Sidama Zone, southern Ethiopia

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

doi:10.21203/rs.2.22029/v1

Cited by 3 publications

(5 citation statements)

References 3 publications

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“…To improve the current uptake of existing MWH facilities, issues that may negatively affect women's ability to use MWHs need to be addressed; in particular, greater awareness should be created about the facilities and attention should also be paid to their physical condition and the quality of care they provide [57]. Other studies have also suggested that some interventions like providing the women with food and basic supplies for the duration of their stay while ensuring basic sanitation would significantly improve the uptake of existing MWH services [34]. Besides, fostering a sense of communal ownership, improving women's education, and promoting the importance of MWHs among health care providers and community leaders may have a significant impact on the sustainability of the service.…”

Section: Discussionmentioning

confidence: 99%

“…The contribution of MWHs as a crucial link for other maternal health services, as well as their availability as a way to overcome the geographic gap in access to healthcare facilities, were identified as typical enablers in the literature. Women staying at MWH have the opportunity to share experiences with other pregnant mothers, postpartum health education about family planning, infant feeding, and connecting women to the health facility and PNC services for both mothers and newborns [34].…”

Section: Availability Of Mwhsmentioning

confidence: 99%

“…Providing high-quality, compassionate care to mothers at MWH enabled the mother to return to the facility and serve as a role model to other clients [34,40].…”

Section: Provision Of Quality and Compassionate Carementioning

confidence: 99%

See 2 more Smart Citations

Benefits, barriers and enablers of maternity waiting homes utilization in Ethiopia: an integrative review of national implementation experience to date

Gurara

Jacquemyn

Ukke

et al. 2022

BMC Pregnancy Childbirth

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Background Though Ethiopia has expanded Maternity Waiting Homes (MWHs) to reduce maternal and perinatal mortality, the utilization rate is low. To maximize the use of MWH, policymakers must be aware of the barriers and benefits of using MWH. This review aimed to describe the evidence on the barriers and benefits to access and use of MWHs in Ethiopia. Methods Data were sourced from PubMed, Google Scholars and Dimensions. Thirty-one studies were identified as the best evidence for inclusion in this review. We adopted an integrative review process based on the five-stage process proposed by Whittemore and Knafl. Results The key themes identified were the benefits, barriers and enablers of MWH utilization with 10 sub-themes. The themes about benefits of MWHs were lower incidence rate of perinatal death and complications, the low incidence rate of maternal complications and death, and good access to maternal health care. The themes associated with barriers to staying at MWH were distance, transportation, financial costs (higher out-of-pocket payments), the physical aspects of MWHs, cultural constraints and lack of awareness regarding MWHs, women’s perceptions of the quality of care at MWHs, and poor provider interaction to women staying at MWH. Enablers to pregnant women to stay at MWHs were availability of MWHs which are attached with obstetric services with quality and compassionate care. Conclusion This study synthesized research evidence on MWH implementation, aiming to identify benefits, barriers, and enablers for MWH implementation in Ethiopia. Despite the limited and variable evidence, the implementation of the MWH strategy is an appropriate strategy to improve access to skilled birth attendance in rural Ethiopia.

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Section: Discussionmentioning

confidence: 99%

Section: Availability Of Mwhsmentioning

confidence: 99%

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Benefits, barriers and enablers of maternity waiting homes utilization in Ethiopia: an integrative review of national implementation experience to date

Gurara

Jacquemyn

Ukke

et al. 2022

BMC Pregnancy Childbirth

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“…This can be also explained because the health services delivery system and a health care system to improve the survival of preterm neonates is limited in the setting 77 including poor uptake of maternity waiting home in the health facility. [78][79][80] Since a systematic review and meta-analysis were done in Africa revealed that maternity waiting for home utilization significantly reduced the risk of perinatal mortality. 81,82 This study found that a significant higher odd of stillbirth among preterm babies.…”

Section: Discussionmentioning

confidence: 99%

Effect of Preterm Birth on the Risk of Adverse Perinatal and Neonatal Outcomes in Ethiopia: A Systematic Review and Meta-Analysis

Admas

Yeshitila

Meselu

et al. 2021

INQUIRY

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Despite remarkable progress in the reduction of under-five mortality, the rate of perinatal and neonatal mortality is still high especially in developing countries. The adverse outcome associated with preterm birth is one of the major public health challenges in Africa. However, there are limited and inconsistent studies conducted on the effect of preterm birth on adverse perinatal and neonatal outcomes in Ethiopia. Therefore, this systematic review and meta-analysis aimed to investigate the association between preterm birth and its adverse perinatal and neonatal outcomes in Ethiopia. We systematically searched several electronic databases like PubMed, Web of Science, SCOPUS, CINAHL, Google Scholar, African Journals Online databases and Science Direct. All identified observational studies were included. The I 1 statistics were used to assess the heterogeneity among the studies. A random-effects model was computed to estimate the pooled effect of preterm birth on adverse perinatal and neonatal outcomes. Thirty-three studies with a total of 20 109 live births were included in the final meta-analysis. Our meta-analysis showed that preterm birth increased the odds of perinatal mortality by 10-folds [POR = 9.56 (95% CI: 5.47, 19.69)] and there was a 5.44-folds risk of stillbirth [Odds Ratio = 5.44 (95% CI: 3.57, 8.28)] among women who gave birth before 37 weeks of gestation. In addition, preterm birth was significantly associated with neonatal hypothermia [OR=3.54 (95% CI: 2.41, 5.21)], neonatal mortality [OR= 3.16 (95% CI: 1.57, 6.34). The sub-group analysis of this meta-analysis showed that there was an increased risk of neonatal sepsis [OR=2.33 (95% CI: 1.15, 4.71)] among preterm babies. Preterm births significantly increased the risk of adverse perinatal and neonatal outcomes in Ethiopia. Therefore, scale-up strategies and improving the quality of maternal and child health care providers should be an area of intervention to reduce adverse outcomes associated with preterm birth. The Federal Ministry of Health and concerned bodies should work towards the prevention of preterm birth and its adverse outcomes.

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“…12 Different primary studies were conducted in Ethiopia and estimated the prevalence of maternity-waiting home utilisation. [13][14][15][16][17][18][19][20][21][22][23][24] According to these separate studies, the prevalence of maternity-waiting home use among Ethiopian women ranges from 7% 16 to 68.8%, 17 and there was a significant variation and inconsistency in the prevalence of maternity-waiting home use among women across the country. Similarly, the factors associated with the utilisation of MWHs were different from study to study.…”

Section: Introductionmentioning

confidence: 99%

Utilisation of maternity waiting homes and its associated factors in Ethiopia: Systematic reviews and meta-analysis

Kassa

Ayele

Belay

et al. 2021

Clinical Epidemiology and Global Health

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Background: Maternity waiting homes are residential facilities near or in a qualified medical facility where women classified as "high risk" can wait for their delivery before being transferred to a nearby medical facility. Ethiopia has been implementing maternity waiting homes to reduce maternal and prenatal mortality, though utilisation varies significantly between facilities. Thus, this systematic review and meta-analysis was aimed to estimate the pooled prevalence and determinants of maternity-waiting home utilisation in Ethiopia. Methods: In this study, variables were searched from different electronic database systems, including PubMed/ Medline, CINHAL, Scopus, Web of sciences, google scholar and Grey literature. Data were extracted guided by a standardised data collection measurement tool. The data were analysed using STATA 16 statistical software, and I 2 tests assessed heterogeneity between the studies. A random-effect model was used to forecast the pooled utilisation of maternity waiting homes. Results: Twelve observational studies were included in this review. The pooled prevalence of utilisation of maternity waiting homes in Ethiopia was 44.91%. Attended antenatal care visits (OR = 2.87, 95%CI, 1.75-4.69), history of complication (OR = 2.05, 95%CI, 1.32-3.16), travel time to obstetric care facility >30 min (OR = 2.75, 95%CI, 1.87-4.06), poverty (OR = 4.04, 95%CI, 1. 46-11.19), experience of maternity waiting home use (OR = 2.90, 95%CI, 1.14-7.38) and childbirth in the health facility (OR = 11.86, 95%CI, were significantly associated with utilisation of maternity waiting home. Conclusions: This systematic review and meta-analysis revealed that the utilisation of maternity-waiting homes was low in Ethiopia. Thus, concerned stakeholders must design and implement effective interventions to increase maternity-waiting home utilisation and tackle the determinants that deter its utilisation.

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Poverty reduces maternity waiting home utilization in Sidama Zone, southern Ethiopia

Cited by 3 publications

References 3 publications

Benefits, barriers and enablers of maternity waiting homes utilization in Ethiopia: an integrative review of national implementation experience to date

Benefits, barriers and enablers of maternity waiting homes utilization in Ethiopia: an integrative review of national implementation experience to date

Effect of Preterm Birth on the Risk of Adverse Perinatal and Neonatal Outcomes in Ethiopia: A Systematic Review and Meta-Analysis

Utilisation of maternity waiting homes and its associated factors in Ethiopia: Systematic reviews and meta-analysis

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