CoChat
Sign Up
Cited by 70Global Maternal and Child HealthMaternal and fetal healthcareMaternal and Perinatal Health Interventions

Role of maternity waiting homes in the reduction of maternal death and stillbirth in developing countries and its contribution for maternal death reduction in Ethiopia: a systematic review and meta-analysis

Open access
Dadi, Tegene Legese, Bekele, Bayu Begashaw, Kasaye, Habtamu Kebebe, Nigussie, Tadesse·2018·BMC Health Services Research
DOI 10.1186/s12913-018-3559-yPMC PMC6167854
Open this paper in CoChat — free accountOpen PDF

Abstract

BACKGROUND: Every family expect to have a healthy mother and new born baby after pregnancy. Especially for parents, pregnancy is a time of great anticipation. Access to maternal and child health care insures safer pregnancy and its outcome. MWHs is one the strategy. The objective was to synthesize the best available evidence on effectiveness of maternity waiting homes on the reduction of maternal mortality and stillbirth in developing countries. METHODS: Before conducting this review non-occurrences of the same review is verified. To avoid introduction of bias because of errors, two independent reviewers appraised each article. Maternal death and stillbirth were the primary outcomes. Review Manager 5 were used to produce a random-effect meta-analysis. Grade Pro software were used to produce risk of bias summary and summary of findings. RESULT: In developing countries, maternity waiting homes users were 80% less likely to die than non-users (OR = 0. 20, 95% CI [0.08, 0.49]) and there was 73% less occurrence of stillbirth among users (OR = 0.27, 95% CI [0.09, 0.82]). In Ethiopia, there was a 91% reduction of maternal death among maternity waiting homes users unlike non-users (OR = 0.09, 95% CI [0.04, 0.19]) and it contributes to the reduction of 83% stillbirth unlike non-users (OR = 0.17, 95% CI [0.05, 0.58]). CONCLUSION: Maternity waiting home contributes more than 80% to the reduction of maternal death among users in developing countries and Ethiopia. Its contribution for reduction of stillbirth is good. More than 70% of stillbirth is reduced among the users of maternity waiting homes. In Ethiopia maternity waiting homes contributes to the reduction of more than two third of stillbirths.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1186/s12913-018-3559-y

Cites

1 of 1 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Maternity Waiting Homes reduced maternal death by 80% in Ethiopia.

    “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 Dadi et al., 2018

    The Abstract (Result) reports an 80% lower likelihood of maternal death among maternity waiting home users across developing countries, but a 91% reduction among users in Ethiopia, each compared with non-users. The Discussion repeats this distinction. The cited paper supports a reduction in Ethiopia, but not the attributed 80% figure for Ethiopia. (LLM, conf=0.90)

    Experimental — accuracy not yet measured

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 19

  1. [2]WHO. Maternity waiting homes: a review of expereinces. Geneva:WHO; 1996.
  2. [3]WHO WHO recommendations on health promotion interventions for maternal and newborn health 2015 Geneva WHO 24 27 26180864
  3. [5]Vermeiden T Stekelenburg J Maternity waiting homes as part of an integrated program for maternal and neonatal health improvements: Women’s lives are worth saving J Midwifery Womens Health United States 2017 62 2 151 154 10.1111/jmwh.12618 28371115 · DOI
  4. [7]Blencowe Hannah Cousens Simon Jassir Fiorella Bianchi Say Lale Chou Doris Mathers Colin Hogan Dan Shiekh Suhail Qureshi Zeshan U You Danzhen Lawn Joy E National, regional, and worldwide estimates of stillbirth rates in 2015, with trends from 2000: a systematic analysis The Lancet Global Health 2016 4 2 e98 e108 10.1016/S2214-109X(15)00275-2 26795602 · DOI · Paper page
  5. [9]WHO. The Global Strategy for Women’s and Children’s and Adolescents’ Health (2016–2030): Survive, Thrive, Transform. United Nations. 2015;1:1–108. Available from: www.unaids.org/sites/default/files/media.../EWECGSMonitoringReport2018_en.pdf. Accessed April 2016.
  6. [10]Buser JM, Lori JR. Newborn Outcomes and Maternity Waiting Homes in Low and Middle-Income Countries: A scoping review. Matern child health J. New York: Springer; 2016. 27475822
  7. [11]van Lonkhuijzen L Stekelenburg J van RJ Maternity waiting facilities for improving maternal and neonatal outcome in low-resource countries (Review) Cochrane Database Syst Rev 2009 3 D006759 19588403
  8. [12]Elmusharaf K Byrne E Donovan DO Strategies to increase demand for maternal health services in resource-limited settings: challenges to be addressed BMC Public Health 2015 15 870 1 10 26350731 PMC4562346
  9. [14]Legesse T Abdulahi M Dira A Trends and causes of maternal mortality in Jimma University specialized hospital, Southwest Ethiopia: a matched case – control study Int J Women’s Heal 2017 9 2017 307 313 10.2147/IJWH.S123455 PMC5422567 28496370 · DOI
  10. [15]Kiguli Juliet Munabi Ian G Ssegujja Eric Nabaliisa Joyce Kabonesa Consolata Kiguli Sarah Josaphat Byamugisha Stillbirths in sub-Saharan Africa: unspoken grief The Lancet 2016 387 10018 e16 e18 10.1016/S0140-6736(15)01171-X 26794074 · DOI
  11. [16]Lawn Joy E. Lee Anne CC Kinney Mary Sibley Lynn Carlo Wally A. Paul Vinod K. Pattinson Robert Darmstadt Gary L. Two million intrapartum-related stillbirths and neonatal deaths: Where, why, and what can be done? International Journal of Gynecology & Obstetrics 2009 107 Supplement S5 S19 10.1016/j.ijgo.2009.07.016 19815202 · DOI · Paper page
  12. [17]Tumwine J. K. Dungare P. S. Maternity waiting shelters and pregnancy outcome: experience from a rural area in Zimbabwe Annals of Tropical Paediatrics 1996 16 1 55 59 10.1080/02724936.1996.11747804 8787367 · DOI
  13. [18]Millard P Balley J Hanson J Antenatal village stay and pregnancy outcome in rural Zimbabwe Cent Afr J Med 1991 37 I 1 4 2060001
  14. [19]Luc van Lonkhuiyzen, Margreet Stegeman, Rebecca Nyirongo Van Roosmalen J. Use of Maternity Waiting Home in Rural Zambia. Africa J Reprod Heal [Internet]. 2003 [cited 2014 Jan 1];7(1):32–36. Available from: https://www.ncbi.nlm.nih.gov/pubmed/12828140. 12828140
  15. [21]Lori Jody R. Munro Michelle L. Rominski Sarah Williams Garfee Dahn Bernice T. Boyd Carol J. Moore Jennifer E. Gwenegale Walter Maternity waiting homes and traditional midwives in rural Liberia International Journal of Gynecology & Obstetrics 2013 123 2 114 118 10.1016/j.ijgo.2013.05.024 23992657 PMC3795996 · DOI
  16. [22]Singh K Speizer I Kim ET Lemani C Phoya A Foundation MG Reaching vulnerable women through maternity waiting homes in Malawi Int J Gynecol Obstet 2017 136 August 2016 91 97 10.1002/ijgo.12013 28099696 · DOI
  17. [23]Poovan P Kifle F Kwast BE A maternity waiting home reduces obstetric catastrophes World Health Forum. Switzerland 1990 11 4 440 445 2092704
  18. [24]Kelly J Kohls E Poovan P Schiffer R Redito A Winter H The role of a maternity waiting area (MWA) in reducing maternal mortality and stillbirths in high-risk women in rural Ethiopia BJOG England 2010 117 11 1377 1383 10.1111/j.1471-0528.2010.02669.x 20670302 · DOI
  19. [25]Chandramohan D Cutts F Chandra R Effects of a maternity waiting home on adverse maternal outcomes and the validity of antenatal risk screening Int J Gynaecol Obstet United States 1994 46 3 279 284 10.1016/0020-7292(94)90406-5 7805996 · DOI

Cited by

Sorted by citations

Authors
Dadi, T. L., Bekele, B. B., Kasaye, H. K., & Nigussie, T.
Affiliations
  • Mizan Tepi University (ET)
  • Wollega University (ET)
Corresponding author
Dadi, Tegene Legese
ORCID
Venue
BMC Health Services Research
Publisher
Springer Science and Business Media LLC
Published
2018-10-01
Volume
18
Issue
1
Pages
748-748
ISSN
1472-6963 (ISSN-L)
DOI
10.1186/s12913-018-3559-y
PMC
PMC6167854
OpenAlex
W2895648817
Cited by
70
References
1
Citations by year
2026: 4 · 2025: 10 · 2024: 7 · 2023: 5 · 2022: 10 · 2021: 14 · 2020: 7 · 2019: 13
FWCI
1.62
Type
journal article
Language
en
Open access
Licence
Locations
  • BMC Health Services Research (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • OPUS - Open Publications of UTS Scholars (University of Technology Sydney) (submittedVersion, other-oa)
  • University of Debrecen Electronic Archive (University of Debrecen) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and fetal healthcare
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords
maternity waiting homes, maternal mortality, stillbirth, obstetric care, Ethiopia, developing countries, maternal health interventions, access to maternal health services
MeSH terms
Maternal Health, Developing Countries, Ethiopia, Female, Hospitals, Maternity, Humans, Maternal Health Services, Maternal Mortality, Pregnancy, Stillbirth, Maternal Death

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review