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Expanding Maternity Waiting Homes as an Approach to Improve Institutional Delivery in Southwest Ethiopia: A Community-Based Case-Control Study
Open accessAbstract
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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“MWHs have increased institutional deliveries in Southwest Ethiopia by 61.4% in 140 cases (Hailu et al., Citation2021), increased MWH facility delivery in Zambia by 7.57% (Perosky et al., Citation2019), reduced maternal death by 80% in Ethiopia (Dadi et al., Citation2018), and nurtured a cost-effective intervention in rural Liberia (Buser et al., Citation2019).”
From Recommendations to improve maternal mortality among Rohingya women in Bangladeshi refugee camps (2025) · cites this paper as Hailu et al., 2021
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Research works printed but not linked: 26
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Recommendations to improve maternal mortality among Rohingya women in Bangladeshi refugee camps
Agarwal, A., Surti, V., & Terry, M. A. (2025) · Health Care for Women International · doi:10.1080/07399332.2024.2349820 · Cited by 1
“MWHs have increased institutional deliveries in Southwest Ethiopia by 61.4% in 140 cases (Hailu et al., 2021), increased MWH facility delivery in Zambia by 7.57% (Perosky et al., 2019), reduced maternal death by 80% in Ethiopia (Dadi et al., 2018), and nurtured a cost-effective intervention in…”
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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
- ORCID
- Venue
- INQUIRY: The Journal of Health Care Organization, Provision, and Financing
- Publisher
- SAGE Publications
- Published
- 2021-01
- Volume
- 58
- Pages
- 469580211018294-469580211018294
- ISSN
- 0046-9580 (ISSN-L)
- 1945-7243
- PMC
- PMC8142013
- 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
- gold
- doi.org
- Licence
- 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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- 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