Cited by 5Global Maternal and Child HealthMaternal and Perinatal Health InterventionsMaternal and Neonatal Healthcare

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Expanding Maternity Waiting Homes as an Approach to Improve Institutional Delivery in Southwest Ethiopia: A Community-Based Case-Control Study

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Hailu, Meaza, Tafese, Fikru, Tsega, Gebeyehu, Adamu, Ayinengida, Yitbarek, Kiddus, Tilahun, Tizta, Siraneh, Yibeltal, Erchafo, Belay, Woldie, Mirkuzie·2021·INQUIRY: The Journal of Health Care Organization, Provision, and Financing

Abstract

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.

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Metadata

Authors
Hailu, M., Tafese, F., Tsega, G., Adamu, A., Yitbarek, K., Tilahun, T., Siraneh, Y., Erchafo, B., & Woldie, M.
Affiliations
  • Oromiyaa Regional Health Bureau (ET)
  • Jimma University (ET)
  • Bahir Dar University (ET)
  • Harvard University (US)
  • Wachemo University (ET)
Corresponding author
Yitbarek, Kiddus
Venue
INQUIRY: The Journal of Health Care Organization, Provision, and Financing
Published
2021-01
Volume
58
Pages
469580211018294-469580211018294
ISSN
  • 0046-9580 (ISSN-L)
  • 1945-7243
OpenAlex
W3164445808
Cited by
5
References
0
Citations by year
2025: 2 · 2024: 1 · 2023: 1 · 2022: 1
FWCI
0.74
Type
journal article
Language
en
Open access
Locations
  • INQUIRY The Journal of Health Care Organization Provision and Financing (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Jimma University
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
Keywords
maternity waiting homes, institutional delivery, home delivery, antenatal care follow-up, maternal education, husband education, maternal and child mortality, access to maternal health services, Southwest Ethiopia
MeSH terms
Cross-Sectional Studies, Ethiopia, Female, Health Facilities, Health Services Accessibility, Humans, Maternal Health Services, Pregnancy, Rural Population, Case-Control Studies

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CoChat. (2026). Citation check: Expanding Maternity Waiting Homes as an Approach to Improve Institutional Delivery in Southwest Ethiopia: A Community-Based Case-Control Study. https://app.cochat.ai/papers/10.1177/00469580211018294
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Hailu, M., Tafese, F., Tsega, G., Adamu, A., Yitbarek, K., Tilahun, T., Siraneh, Y., Erchafo, B., & Woldie, M. (2021). Expanding Maternity Waiting Homes as an Approach to Improve Institutional Delivery in Southwest Ethiopia: A Community-Based Case-Control Study. INQUIRY: The Journal of Health Care Organization, Provision, and Financing. https://doi.org/10.1177/00469580211018294