TY - JOUR
T1 - Utilisation of maternity waiting homes and its associated factors in Ethiopia
T2 - Systematic reviews and meta-analysis
AU - Kassa, Bekalu Getnet
AU - Ayele, Alemu Degu
AU - Belay, Habtamu Gebrehana
AU - Mihiretie, Gedefaye Nibret
AU - Worke, Mulugeta Dile
PY - 2021/10
Y1 - 2021/10
N2 - Background: Maternity waiting homes are residential facilities near or in a qualified medical facility where women classified as “high risk” can wait for their delivery before being transferred to a nearby medical facility. Ethiopia has been implementing maternity waiting homes to reduce maternal and prenatal mortality, though utilisation varies significantly between facilities. Thus, this systematic review and meta-analysis was aimed to estimate the pooled prevalence and determinants of maternity-waiting home utilisation in Ethiopia. Methods: In this study, variables were searched from different electronic database systems, including PubMed/Medline, CINHAL, Scopus, Web of sciences, google scholar and Grey literature. Data were extracted guided by a standardised data collection measurement tool. The data were analysed using STATA 16 statistical software, and I2 tests assessed heterogeneity between the studies. A random-effect model was used to forecast the pooled utilisation of maternity waiting homes. Results: Twelve observational studies were included in this review. The pooled prevalence of utilisation of maternity waiting homes in Ethiopia was 44.91%. Attended antenatal care visits (OR = 2.87, 95%CI, 1.75–4.69), history of complication (OR = 2.05, 95%CI, 1.32–3.16), travel time to obstetric care facility >30 min (OR = 2.75, 95%CI, 1.87–4.06), poverty (OR = 4.04, 95%CI, 1.46–11.19), experience of maternity waiting home use (OR = 2.90, 95%CI, 1.14–7.38) and childbirth in the health facility (OR = 11.86, 95%CI, 4.02–35.01) were significantly associated with utilisation of maternity waiting home. Conclusions: This systematic review and meta-analysis revealed that the utilisation of maternity-waiting homes was low in Ethiopia. Thus, concerned stakeholders must design and implement effective interventions to increase maternity-waiting home utilisation and tackle the determinants that deter its utilisation.
AB - Background: Maternity waiting homes are residential facilities near or in a qualified medical facility where women classified as “high risk” can wait for their delivery before being transferred to a nearby medical facility. Ethiopia has been implementing maternity waiting homes to reduce maternal and prenatal mortality, though utilisation varies significantly between facilities. Thus, this systematic review and meta-analysis was aimed to estimate the pooled prevalence and determinants of maternity-waiting home utilisation in Ethiopia. Methods: In this study, variables were searched from different electronic database systems, including PubMed/Medline, CINHAL, Scopus, Web of sciences, google scholar and Grey literature. Data were extracted guided by a standardised data collection measurement tool. The data were analysed using STATA 16 statistical software, and I2 tests assessed heterogeneity between the studies. A random-effect model was used to forecast the pooled utilisation of maternity waiting homes. Results: Twelve observational studies were included in this review. The pooled prevalence of utilisation of maternity waiting homes in Ethiopia was 44.91%. Attended antenatal care visits (OR = 2.87, 95%CI, 1.75–4.69), history of complication (OR = 2.05, 95%CI, 1.32–3.16), travel time to obstetric care facility >30 min (OR = 2.75, 95%CI, 1.87–4.06), poverty (OR = 4.04, 95%CI, 1.46–11.19), experience of maternity waiting home use (OR = 2.90, 95%CI, 1.14–7.38) and childbirth in the health facility (OR = 11.86, 95%CI, 4.02–35.01) were significantly associated with utilisation of maternity waiting home. Conclusions: This systematic review and meta-analysis revealed that the utilisation of maternity-waiting homes was low in Ethiopia. Thus, concerned stakeholders must design and implement effective interventions to increase maternity-waiting home utilisation and tackle the determinants that deter its utilisation.
KW - Ethiopia
KW - Maternity-waiting home
KW - Meta-analysis
KW - Pooled prevalence
KW - Systematic review
UR - http://www.scopus.com/inward/record.url?scp=85118574895&partnerID=8YFLogxK
U2 - 10.1016/j.cegh.2021.100891
DO - 10.1016/j.cegh.2021.100891
M3 - Review article
AN - SCOPUS:85118574895
SN - 2213-3984
VL - 12
JO - Clinical Epidemiology and Global Health
JF - Clinical Epidemiology and Global Health
M1 - 100891
ER -
