Benefits, barriers and enablers of maternity waiting homes utilization in Ethiopia: an integrative review of national implementation experience to date
Abstract Background Though Ethiopia has expanded Maternity Waiting Homes (MWHs) to reduce maternal and perinatal mortality, the utilization rate is low. To maximize the use of MWH, policymakers must be aware of the barriers and benefits of using MWH. This review aimed to describe the evidence on the...
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| Format: | Article |
| Language: | English |
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BMC
2022-09-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-022-04954-y |
| _version_ | 1828114377117532160 |
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| author | Mekdes Kondale Gurara Yves Jacquemyn Gebresilasea Gendisha Ukke Jean-Pierre Van Geertruyden Veerle Draulans |
| author_facet | Mekdes Kondale Gurara Yves Jacquemyn Gebresilasea Gendisha Ukke Jean-Pierre Van Geertruyden Veerle Draulans |
| author_sort | Mekdes Kondale Gurara |
| collection | DOAJ |
| description | Abstract Background Though Ethiopia has expanded Maternity Waiting Homes (MWHs) to reduce maternal and perinatal mortality, the utilization rate is low. To maximize the use of MWH, policymakers must be aware of the barriers and benefits of using MWH. This review aimed to describe the evidence on the barriers and benefits to access and use of MWHs in Ethiopia. Methods Data were sourced from PubMed, Google Scholars and Dimensions. Thirty-one studies were identified as the best evidence for inclusion in this review. We adopted an integrative review process based on the five-stage process proposed by Whittemore and Knafl. Results The key themes identified were the benefits, barriers and enablers of MWH utilization with 10 sub-themes. The themes about benefits of MWHs were lower incidence rate of perinatal death and complications, the low incidence rate of maternal complications and death, and good access to maternal health care. The themes associated with barriers to staying at MWH were distance, transportation, financial costs (higher out-of-pocket payments), the physical aspects of MWHs, cultural constraints and lack of awareness regarding MWHs, women’s perceptions of the quality of care at MWHs, and poor provider interaction to women staying at MWH. Enablers to pregnant women to stay at MWHs were availability of MWHs which are attached with obstetric services with quality and compassionate care. Conclusion This study synthesized research evidence on MWH implementation, aiming to identify benefits, barriers, and enablers for MWH implementation in Ethiopia. Despite the limited and variable evidence, the implementation of the MWH strategy is an appropriate strategy to improve access to skilled birth attendance in rural Ethiopia. |
| first_indexed | 2024-04-11T12:23:33Z |
| format | Article |
| id | doaj.art-54f902ed167e4c6eb56f7753d3cb0f68 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-04-11T12:23:33Z |
| publishDate | 2022-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-54f902ed167e4c6eb56f7753d3cb0f682022-12-22T04:24:01ZengBMCBMC Pregnancy and Childbirth1471-23932022-09-0122112310.1186/s12884-022-04954-yBenefits, barriers and enablers of maternity waiting homes utilization in Ethiopia: an integrative review of national implementation experience to dateMekdes Kondale Gurara0Yves Jacquemyn1Gebresilasea Gendisha Ukke2Jean-Pierre Van Geertruyden3Veerle Draulans4School of Public Health, College of Medicine and Health Sciences, Arba Minch UniversityGlobal Health Institute, Faculty of Medicine & Health Sciences, University of AntwerpDepartment of Midwifery, College of Medicine and Health Sciences, Arba Minch UniversityGlobal Health Institute, Faculty of Medicine & Health Sciences, University of AntwerpFaculty of Social Sciences, Centre for Sociological Research, KU LeuvenAbstract Background Though Ethiopia has expanded Maternity Waiting Homes (MWHs) to reduce maternal and perinatal mortality, the utilization rate is low. To maximize the use of MWH, policymakers must be aware of the barriers and benefits of using MWH. This review aimed to describe the evidence on the barriers and benefits to access and use of MWHs in Ethiopia. Methods Data were sourced from PubMed, Google Scholars and Dimensions. Thirty-one studies were identified as the best evidence for inclusion in this review. We adopted an integrative review process based on the five-stage process proposed by Whittemore and Knafl. Results The key themes identified were the benefits, barriers and enablers of MWH utilization with 10 sub-themes. The themes about benefits of MWHs were lower incidence rate of perinatal death and complications, the low incidence rate of maternal complications and death, and good access to maternal health care. The themes associated with barriers to staying at MWH were distance, transportation, financial costs (higher out-of-pocket payments), the physical aspects of MWHs, cultural constraints and lack of awareness regarding MWHs, women’s perceptions of the quality of care at MWHs, and poor provider interaction to women staying at MWH. Enablers to pregnant women to stay at MWHs were availability of MWHs which are attached with obstetric services with quality and compassionate care. Conclusion This study synthesized research evidence on MWH implementation, aiming to identify benefits, barriers, and enablers for MWH implementation in Ethiopia. Despite the limited and variable evidence, the implementation of the MWH strategy is an appropriate strategy to improve access to skilled birth attendance in rural Ethiopia.https://doi.org/10.1186/s12884-022-04954-yMaternal mortalityMaternal morbidityWaiting homeMaternity waiting homeAccessEthiopia |
| spellingShingle | Mekdes Kondale Gurara Yves Jacquemyn Gebresilasea Gendisha Ukke Jean-Pierre Van Geertruyden Veerle Draulans Benefits, barriers and enablers of maternity waiting homes utilization in Ethiopia: an integrative review of national implementation experience to date BMC Pregnancy and Childbirth Maternal mortality Maternal morbidity Waiting home Maternity waiting home Access Ethiopia |
| title | Benefits, barriers and enablers of maternity waiting homes utilization in Ethiopia: an integrative review of national implementation experience to date |
| title_full | Benefits, barriers and enablers of maternity waiting homes utilization in Ethiopia: an integrative review of national implementation experience to date |
| title_fullStr | Benefits, barriers and enablers of maternity waiting homes utilization in Ethiopia: an integrative review of national implementation experience to date |
| title_full_unstemmed | Benefits, barriers and enablers of maternity waiting homes utilization in Ethiopia: an integrative review of national implementation experience to date |
| title_short | Benefits, barriers and enablers of maternity waiting homes utilization in Ethiopia: an integrative review of national implementation experience to date |
| title_sort | benefits barriers and enablers of maternity waiting homes utilization in ethiopia an integrative review of national implementation experience to date |
| topic | Maternal mortality Maternal morbidity Waiting home Maternity waiting home Access Ethiopia |
| url | https://doi.org/10.1186/s12884-022-04954-y |
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