The Role of Maternity Waiting Area in Improving Obstetric Outcomes: A Comparative Cross-sectional Study, Jinka Zonal Hospital, Southern Regional State

Meshesha, Berhan; Dejene, Gebeyehu; Hailemariam, Teklehaimanot Tekle

doi:10.4172/2167-0420.1000406

Cited by 8 publications

(4 citation statements)

References 9 publications

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“…Women who had delivered at a health institution were 6.3 times more likely to use an MWH than those who delivered at home. This is in line with the studies carried out in Zambia ( 18 ) and Jinka Zonal Hospital (Ethiopia) ( 9 ). Women who delivered in a health facility had higher odds of using MWH facilities.…”

Section: Discussionsupporting

confidence: 91%

“…The sample size was determined by using EPI INFO version 7.2.3.1 statistical software package with the following considerations: 20.5% of controls exposed for determining the educational level of the husband, 95% confidence level, power = 80, and odds ratio (OR) = 2.1, which provided the maximum sample size (see Table 1 ). The evidence was collected from another facility-based study ( 9 , 15 ). After adding 10% for determining the non-response rate, 129 cases and 257 controls (a total sample size of 386) were included in the study.…”

Section: Methodsmentioning

confidence: 99%

“…In Ethiopia, there is a 92% reduction in maternal deaths among MWH users when compared with non-users and there is 73% less occurrence of stillbirth among users ( 8 ). On the other hand, admission to an MWH shows an improvement rate of 27.5% in overall maternal and perinatal obstetric outcomes ( 9 ). This shows that MWH use will play a great role in achieving sustainable development goals (SDGs) for 2030 with regard to reducing maternal mortality (70 per 100,000 live births) as well as reducing neonatal mortality to at least as low as 12 per 1,000 live births ( 10 , 11 ).…”

Section: Introductionmentioning

confidence: 99%

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Determinants of maternity waiting home utilization among women who gave birth in public health facilities in the Gedeo Zone, southern Ethiopia: an unmatched case–control study

Tilahun,

Shaka,

Belay

2023

Front. Glob. Womens Health

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BackgroundMaternal mortality remains unacceptably high in Ethiopia, although most of its causes are preventable. One way of tackling this problem is by establishing a maternal waiting home (MWH) close to a health facility. Although the benefits of an MWH have been well-documented, the determinants of its use have not been well-studied. This study aims to identify the determinants of utilization of an MWH among women who gave birth in public health facilities in the Gedeo Zone, southern Ethiopia.MethodsA facility-based unmatched case–control study was conducted between January 2020 and February 2020) among 129 patients belonging to the case group and 257 belonging to the control group. The data were entered into the Epi-Data version 3.1 and exported to the SPSS version 20 statistical package for analysis. Descriptive statistics such as frequency, means, and standard deviations were computed. The association between variables was checked using logistic regression analysis, and odds ratios (ORs) with 95% confidence interval (CI) were used to determine the strength of this association. A p-value of < 0.05 was used as a cutoff point to measure statistical significance.ResultA total of 378 respondents (126 cases and 252 controls) were included in the study, successfully achieving a response rate of 97.9%. The mean age of the participants was 27.4 (±5.6 SD) years, which was 28.4 (±5.5 SD) years for case group patients and 26.9 (±5.69 SD) years for control group patients. The educational status of women [adjusted odds ratio (AOR): 8.49, 95% CI: 2.91–24.7], travel time (AOR: 2.92, 95% CI:1.41–4.67), antenatal care visits (AOR: 3.54, 95% CI: 1.33–9.38), those having more than two children under the age of 5 years (AOR: 0.12, 95% CI: 0.06–0.26), those with a history of complications in previous childbirths (AOR: 4.52 95% CI: 2.41–8.47), previous place of delivery (AOR: 6.30, 95% CI: 2.71–14.78), and a lack of awareness (AOR: 5.8, 95% CI: 2.23–15.2) were all significantly associated with the utilization of an MWH.ConclusionEducational status, antenatal care follow-up, number of children under 5 years old in the household, previous place of delivery, lack of awareness regarding maternal waiting home service, and travel time were all determinants of MWH use. This implies that interventions focusing on promoting antenatal care visits, institutional delivery, and raising awareness of the benefits of MWHs are important for improving their rate of utilization.

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Section: Discussionsupporting

confidence: 91%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Determinants of maternity waiting home utilization among women who gave birth in public health facilities in the Gedeo Zone, southern Ethiopia: an unmatched case–control study

Tilahun,

Shaka,

Belay

2023

Front. Glob. Womens Health

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“…MWR or house is the process of receiving and keeping pregnant mothers near to term or at term irrespective of length of stay in the MWR [45]. The maternity waiting homes are being expanded to accommodate women expecting birth who are coming from distant and inaccessible villages.…”

Section: The Provision Of Mwr and Its Role To Improve Mhsbmentioning

confidence: 99%

The Socio Economic Factors that Promote Maternal Health Seeking Behavior among Ethiopian Rural Women: The Case of Raya Alamata District

Mesele¹

2018

Anat Physiol

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Maternal health is the physical wellbeing of a mother during pregnancy, childbirth and postpartum. It reflects the level of social justice and the degree of respect for women's rights in a society. Therefore, aim of this study is to identify the socioeconomic factors that promote Maternal Health Seeking Behavior (MHSB) among rural women of Raya Alamata districts. To conduct this study, the researcher used qualitative research design. Hence, Focus Group Discussion (FGD), key informant and in-depth interview were conducted with purposively selected participants from the three Tabias. Thematic analysis method was used to analyze and interpreted the qualitative data. Finally, the influence of media, the deployment of Health Extension Workers (HEWs), the contribution of social network and social capital, the provision of Maternity Waiting Rooms (MWRs) for birthing women, pregnant women conference, the establishment of women Health Development Army (HDA) and one to five groups were the major factors that promote MHSB of rural women of the study area. Moreover, the availability of ambulances, fear of HIV infection and punishment (fine) are factors which facilitates women to have birth in modern health institutions.

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Maternity waiting home Utilization and associated factors among women who gave birth in the Digelu and Tijo district of the Arsi Zone, Oromia, Ethiopia

Teshome

Abera

Nigatu

2021

Preprint

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BackgroundMaternity Waiting Homes (MWHs) is an intervention designed to reduce maternal and perinatal mortality. Ethiopia has introduced the intervention before three decades however; its utilization is very low. Therefore, this study is aimed to assess MWH utilization and associated factors among women who gave birth in the last 12 months in Digelu and Tijo district Arsi Zone Oromia Region, Ethiopia.MethodsCommunity-based cross-sectional study was conducted in April 2019 on 530 randomly selected women. Data were collected by face-to-face interview using structured questionnaire. Descriptive statistics and logistics regressions were used to analyze the results. Adjusted odds ratio and 95% confidence interval were respectively calculated to measure strength of association and its statistical significance.The confidence interval was used to declare statistical significance in the final model.ResultsOne hundred twenty-five (23.6%) of the respondents used maternity waiting home. Traveling time less than and equals to 60 minutes from a nearby health facility (AOR=0.16, 95% CI: 0.09, 0.27), women’s decision power (AOR=1.81, 95% CI: 1.10, 2.96), not utilizing antenatal care (AOR=0.6, 95% CI: 0.37, 0.97) and delivering more than three children (AOR=0.56, 95% CI: 0.34, 0.90) were independently associated with utilizing the maternity waiting home.ConclusionEven though the MWH was designed to reduce maternal and perinatal mortality, less than a quarter (23.6%) of women delivered in the last 12 months before the study in the Digelu and Tijo District had utilized the services. Increasing availability of the service, promoting antenatal care utilization, empowering women and evolving policy makers are recommended to enhance the current low utilization of the MWH.

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The Role of Maternity Waiting Area in Improving Obstetric Outcomes: A Comparative Cross-sectional Study, Jinka Zonal Hospital, Southern Regional State

Cited by 8 publications

References 9 publications

Determinants of maternity waiting home utilization among women who gave birth in public health facilities in the Gedeo Zone, southern Ethiopia: an unmatched case–control study

Determinants of maternity waiting home utilization among women who gave birth in public health facilities in the Gedeo Zone, southern Ethiopia: an unmatched case–control study

The Socio Economic Factors that Promote Maternal Health Seeking Behavior among Ethiopian Rural Women: The Case of Raya Alamata District

Maternity waiting home Utilization and associated factors among women who gave birth in the Digelu and Tijo district of the Arsi Zone, Oromia, Ethiopia

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