Department of Midwifery, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
School of Public Health, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
PLoS One. 2022 Mar 14;17(3):e0264416. doi: 10.1371/journal.pone.0264416. eCollection 2022.
To estimate the magnitude of maternity waiting home utilization and identify its associated factors in Sidama Zone, Southern Ethiopia.
A community-based cross-sectional study was conducted on a total of 748 mothers who gave birth within the last year in the selected woredas (districts) of Sidama Zone. Data were collected from April 1-30, 2019 by using pre-tested and structured questionnaires. Data were coded and entered into EpiData version 3.5.1 and exported to Stata Version 13 software for analysis. Multivariable logistic regression analysis was performed to identify factors associated with maternity waiting home utilization adjusting for confounders.
The mean (SD) of the age of the mothers was 31.26(6.42). Utilization of maternity waiting home in Sidama Zone was 67.25% (95% CI: 63.79-70.53).Maternity waiting home utilization was positively associated with protestant religion (AOR = 1.7; 95% CI: 1.00-2.82) and having a spouse who can read and write (AOR = 2.0; 95%CI: 1.11-3.66) while it was negatively associated with maternal age of 31-40 (AOR = 0.4; 95%CI: 0.28-0.64) relative to the age group of 20-30, daily laborer occupation of mothers (AOR = 0.2; 95%CI: 0.06-0.76), monthly income under the poverty level (825-1320EBR) (AOR = 0.6; 95%CI: 0.36-0.92) relative with extreme poverty line (<825 EBR), lack of knowledge about maternity waiting home (AOR = 0.009; 95%CI: 0.002-0.03).
Women who had knowledge about maternity waiting home, had a husband who can read and write and protestant religion followers have higher probabilities of maternity waiting home utilization, whereas women (31-40 years old), daily laborers and whose family income is below the poverty level have lower probabilities of maternity waiting home utilization. Therefore, Health education about maternity waiting home utilization, spouse education, and women's economic empowerment is crucial to enhance maternity waiting home utilization.
估计产妇在家等候利用的程度，并确定其在埃塞俄比亚南部西达玛地区的相关因素。
这是一项基于社区的横断面研究，共纳入了西达玛地区选定沃里德（区）在过去一年中分娩的 748 名产妇。数据于 2019 年 4 月 1 日至 30 日收集，使用了预先测试和结构化的问卷。数据经过编码并输入到 EpiData 版本 3.5.1 中，并导出到 Stata 版本 13 软件进行分析。采用多变量逻辑回归分析，调整混杂因素后确定与产妇在家等候利用相关的因素。
母亲的平均（SD）年龄为 31.26（6.42）。西达玛地区产妇在家等候利用的比例为 67.25%（95%置信区间：63.79-70.53）。产妇在家等候利用与新教宗教信仰呈正相关（AOR=1.7；95%置信区间：1.00-2.82），与配偶能读会写呈正相关（AOR=2.0；95%置信区间：1.11-3.66），与 31-40 岁的产妇年龄呈负相关（AOR=0.4；95%置信区间：0.28-0.64），与 20-30 岁年龄组相比，与日薪劳动者职业的母亲呈负相关（AOR=0.2；95%置信区间：0.06-0.76），与每月收入低于贫困线（825-1320 埃比尔）（AOR=0.6；95%置信区间：0.36-0.92）相比，与赤贫线（<825 埃比尔）相比，缺乏对产妇在家等候利用的知识（AOR=0.009；95%置信区间：0.002-0.03）。
了解产妇在家等候利用、丈夫能读写和新教信仰的妇女更有可能利用产妇在家等候，而年龄在 31-40 岁、日薪劳动者和家庭收入低于贫困线的妇女更不可能利用产妇在家等候。因此，开展产妇在家等候利用、配偶教育和妇女经济赋权的健康教育对于提高产妇在家等候利用至关重要。
