Oromia Regional State Health Bureau, Addis Ababa, Ethiopia.
Jimma University, Jimma, Ethiopia.
Inquiry. 2021 Jan-Dec;58:469580211018294. doi: 10.1177/00469580211018294.
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.
尽管在增加机构分娩方面做出了有希望的努力，但埃塞俄比亚的母婴死亡率仍然很高。为了尽量减少这个问题，使用了一项策略，即引入母婴等候之家（MWH）。MWH 是为靠近合格医疗设施的孕妇提供的住宿设施。在许多国家，MWH 的引入改善了机构分娩。然而，在埃塞俄比亚，MWH 的贡献很少被研究。为了填补这一空白，我们于 2016 年 3 月 1 日至 4 月 20 日在埃塞俄比亚西南部进行了一项基于社区的病例对照研究。在 1 年内在卫生机构分娩的母亲被视为病例，而在家中分娩的母亲则为对照。我们使用简单随机抽样从病例和对照中确定研究参与者，这些参与者是通过普查确定的。数据使用 SPSS 版本 20 进行分析。二项逻辑回归用于确定显著的预测因素。共有 140 例病例和 273 例对照纳入研究。在病例中，86 例（61.4%）在最后一次分娩时使用了 MWH。母亲的教育程度[OR=2.96，95%CI：1.41，6.23]、丈夫的教育程度[OR=5.19，95%CI：1.52，17.76]和接受产前护理随访[OR=3.22，95%CI：1.59，6.54]等变量。这项研究表明，获得 MWH、提高对其的认识以及进行产前随访，在改善机构分娩方面起着至关重要的作用。因此，加强现有的 MWH 并建立新的 MWH 以提供优质服务是减少家庭分娩的一项好策略。
