Expanding Maternity Waiting Homes as an Approach to Improve Institutional Delivery in Southwest Ethiopia

A Community-Based Case-Control Study

Bibliographic Data

ID13775156
AuthorsMeaza Hailu (Oromia Regional State Health Bureau, Addis Ababa, Ethiopia), Fikru Tafese (Jimma University, Jimma, Ethiopia), Gebeyehu Tsega (Bahirdsr University, Bahirdar, Ethiopia), Ayinengida Adamu (Bahirdsr University, Bahirdar, Ethiopia), Kiddus Yitbarek (0000-0002-4935-6871, Jimma University, Jimma, Ethiopia, corresponding author), Tizta Tilahun (0000-0002-3842-9844, Harvard T.H. Chan School of Public Health, Boston, MA, USA), Yibeltal Siraneh (0000-0003-4416-9572, Jimma University, Jimma, Ethiopia), Belay Erchafo (0000-0002-0290-7322, Wachemo University, Jimma, Ethiopia), Mirkuzie Woldie (0000-0002-1777-0816, Jimma University, Jimma, Ethiopia)
Year2021
Volume58
Pages469580211018294-469580211018294
Publication date2021-01-01
Open AccessYes
TypeARTICLE
VenueINQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL)
Journal identifiersISSN: 0046-9580 • E-ISSN: 1945-7243
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/00469580211018294
PMID34027685
OpenAlexW3164445808
LanguageEN
Citations received1
References cited12

With the promising efforts in increasing institutional delivery yet, maternal and child mortality is high in Ethiopia. One of the strategies used to minimize this problem was the introduction of Maternity Waiting Homes (MWH). MWHs are residential facilities for pregnant women near a qualified medical facility. The introduction of MWHs has improved institutional delivery in many countries. In Ethiopia however, the contribution of MWHs was rarely studied. To fill this gap, we have conducted a community-based unmatched case-control study from March 1 to April 20, 2016, in Southwestern Ethiopia. Mothers who delivered at a health facility within 1 year were considered as cases while mothers delivered at home were controls. We used simple random sampling to identify study participants from the pool of cases and controls who were identified by census. Data were analyzed using SPSS Version 20. Binary logistic regression was used to identify significant predictors. A total of 140 cases and 273 controls were included in the study. Among the case, 86 (61.4%) used MWHs during their last delivery. Variables like educational status of the mothers [AOR = 2.96, 95% CI: 1.41, 6.23], educational status of the husband [AOR = 5.19, 95% CI: 1.52, 17.76], and having antenatal care follow up [AOR = 3.22, 95% CI: 1.59, 6.54]. This study remarks, accessing MWHs, creating better awareness in utilizing them, and practicing antenatal follow-up have a crucial role in improving institutional delivery. Therefore, strengthening the existing and establishing new MWHs to deliver quality services is a good strategy in reducing home delivery

Environmental health · Family medicine · Health facility · Health services · Logistic regression · Population · Child Nutrition and Water Access · Global Maternal and Child Health · Medicine · Nursing · Vaccine Coverage and Hesitancy

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