A Culturally Sensitive and Supportive Maternity Care Service Increases the Uptake of Maternity Waiting Homes in Ethiopia

Desta Workneh Selbana,1 Msganaw Derese,2 Enatfenta Sewmehone Endalew,1 Bosena Tebeje Gashaw1 1College of Health Sciences, Jimma University, Jimma, Ethiopia; 2College of Health Sciences, Mizan-Tepi University, Mizan-Tepi, EthiopiaCorrespondence: Desta Workneh SelbanaCollege of Health Sciences, Jimma...

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Main Authors: Selbana DW, Derese M, Sewmehone Endalew E, Gashaw BT
Format: Article
Language:English
Published: Dove Medical Press 2020-10-01
Series:International Journal of Women's Health
Subjects:
Online Access:https://www.dovepress.com/a-culturally-sensitive-and-supportive-maternity-care-service-increases-peer-reviewed-article-IJWH
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author Selbana DW
Derese M
Sewmehone Endalew E
Gashaw BT
author_facet Selbana DW
Derese M
Sewmehone Endalew E
Gashaw BT
author_sort Selbana DW
collection DOAJ
description Desta Workneh Selbana,1 Msganaw Derese,2 Enatfenta Sewmehone Endalew,1 Bosena Tebeje Gashaw1 1College of Health Sciences, Jimma University, Jimma, Ethiopia; 2College of Health Sciences, Mizan-Tepi University, Mizan-Tepi, EthiopiaCorrespondence: Desta Workneh SelbanaCollege of Health Sciences, Jimma University, PO Box, 378, Jimma, EthiopiaEmail destaw1977@gmail.comBackground: Maternal delays in utilization of emergency obstetric care are impacting on a high maternal mortality, especially in the poor resource countries including Ethiopia. Different strategies are designed and employed to reduce those maternal delays, and one of such strategies employed to overcome the geographic barriers and improve maternal and neonatal health outcomes is utilization of maternity waiting homes (MWHs). Studies related to the utilization of MWHs and associated factors are limited in Ethiopia and there were none in the study area.Objective: The aim of this study was to assess the utilization of maternity waiting homes and associated factors.Methods and Materials: A community-based cross-sectional study design was conducted, using multistage sampling technique. Logistic regression analysis with 95% CI for odds ratio (OR) was used to identify significant factors.Results: A total of 379 women participated in this study, making a response rate of 85%. Of the total participants, 42.5% (95% CI=38– 48) of women utilized MWHs. After controlling for potential confounders, women’s decision-making capacity (AOR=12.74; 95% CI=6.18– 26.26), women having someone who can care for their children and/or husband at home (AOR=2.71; 95% CI=1.44– 5.09), MWHs offering food service (AOR=4.03; 95% CI=2.07– 7.85), offering and/or allowing women to practice their own cultural ceremony (allowing to cook their own food type, porridge, coffee, etc) (AOR=9.55; 95% CI=4.45– 20.47), and women’s attitude towards MWHs (AOR=0.09; 95% CI=0.03– 0.23) were factors significantly associated with the utilization of MWHs.Conclusion: Compared to its contribution in reducing maternal and perinatal mortality, the utilization of MWHs was low in this study area. The integration of culturally sensitive and supportive maternity services, along with community participatory approach, would increase utilization of MWHs and consequently contribute in achieving the SDGs related to maternal and neonatal health.Keywords: maternity waiting homes, utilization, supportive maternity services, cultural sensitivity, Ethiopia
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spelling doaj.art-2b51b17bc5584cee81989a4afcc1e0b62022-12-22T00:55:29ZengDove Medical PressInternational Journal of Women's Health1179-14112020-10-01Volume 1281382157885A Culturally Sensitive and Supportive Maternity Care Service Increases the Uptake of Maternity Waiting Homes in EthiopiaSelbana DWDerese MSewmehone Endalew EGashaw BTDesta Workneh Selbana,1 Msganaw Derese,2 Enatfenta Sewmehone Endalew,1 Bosena Tebeje Gashaw1 1College of Health Sciences, Jimma University, Jimma, Ethiopia; 2College of Health Sciences, Mizan-Tepi University, Mizan-Tepi, EthiopiaCorrespondence: Desta Workneh SelbanaCollege of Health Sciences, Jimma University, PO Box, 378, Jimma, EthiopiaEmail destaw1977@gmail.comBackground: Maternal delays in utilization of emergency obstetric care are impacting on a high maternal mortality, especially in the poor resource countries including Ethiopia. Different strategies are designed and employed to reduce those maternal delays, and one of such strategies employed to overcome the geographic barriers and improve maternal and neonatal health outcomes is utilization of maternity waiting homes (MWHs). Studies related to the utilization of MWHs and associated factors are limited in Ethiopia and there were none in the study area.Objective: The aim of this study was to assess the utilization of maternity waiting homes and associated factors.Methods and Materials: A community-based cross-sectional study design was conducted, using multistage sampling technique. Logistic regression analysis with 95% CI for odds ratio (OR) was used to identify significant factors.Results: A total of 379 women participated in this study, making a response rate of 85%. Of the total participants, 42.5% (95% CI=38– 48) of women utilized MWHs. After controlling for potential confounders, women’s decision-making capacity (AOR=12.74; 95% CI=6.18– 26.26), women having someone who can care for their children and/or husband at home (AOR=2.71; 95% CI=1.44– 5.09), MWHs offering food service (AOR=4.03; 95% CI=2.07– 7.85), offering and/or allowing women to practice their own cultural ceremony (allowing to cook their own food type, porridge, coffee, etc) (AOR=9.55; 95% CI=4.45– 20.47), and women’s attitude towards MWHs (AOR=0.09; 95% CI=0.03– 0.23) were factors significantly associated with the utilization of MWHs.Conclusion: Compared to its contribution in reducing maternal and perinatal mortality, the utilization of MWHs was low in this study area. The integration of culturally sensitive and supportive maternity services, along with community participatory approach, would increase utilization of MWHs and consequently contribute in achieving the SDGs related to maternal and neonatal health.Keywords: maternity waiting homes, utilization, supportive maternity services, cultural sensitivity, Ethiopiahttps://www.dovepress.com/a-culturally-sensitive-and-supportive-maternity-care-service-increases-peer-reviewed-article-IJWHmaternity waiting homesutilizationsupportive maternity servicescultural sensitivityethiopia.
spellingShingle Selbana DW
Derese M
Sewmehone Endalew E
Gashaw BT
A Culturally Sensitive and Supportive Maternity Care Service Increases the Uptake of Maternity Waiting Homes in Ethiopia
International Journal of Women's Health
maternity waiting homes
utilization
supportive maternity services
cultural sensitivity
ethiopia.
title A Culturally Sensitive and Supportive Maternity Care Service Increases the Uptake of Maternity Waiting Homes in Ethiopia
title_full A Culturally Sensitive and Supportive Maternity Care Service Increases the Uptake of Maternity Waiting Homes in Ethiopia
title_fullStr A Culturally Sensitive and Supportive Maternity Care Service Increases the Uptake of Maternity Waiting Homes in Ethiopia
title_full_unstemmed A Culturally Sensitive and Supportive Maternity Care Service Increases the Uptake of Maternity Waiting Homes in Ethiopia
title_short A Culturally Sensitive and Supportive Maternity Care Service Increases the Uptake of Maternity Waiting Homes in Ethiopia
title_sort culturally sensitive and supportive maternity care service increases the uptake of maternity waiting homes in ethiopia
topic maternity waiting homes
utilization
supportive maternity services
cultural sensitivity
ethiopia.
url https://www.dovepress.com/a-culturally-sensitive-and-supportive-maternity-care-service-increases-peer-reviewed-article-IJWH
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