Hidoto Kassahun Tafesse, Gidebo Kassa Daka, Koyira Mengistu Meskele, Domínguez Maria Luisa Guillén
School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo Univerisity, Wolaita Sodo, Ethiopia.
Department of Preventive Medicine and Public Health, Food Science, Toxicology, and Legal Medicine, University of Valencia, Valencia, Spain.
Front Glob Womens Health. 2024 Dec 9;5:1423639. doi: 10.3389/fgwh.2024.1423639. eCollection 2024.
Globally, maternal mortality is a major public health problem mainly due to a lack of access to skilled care during childbirth. Maternity waiting homes (MWHs) play a critical role in accessing emergency obstetric care for pregnant women during childbirth. However, available studies show inconsistent findings about women's utilization of maternity waiting homes. Therefore, the aim of this review was to identify the pooled prevalence of women's utilization of maternity waiting homes and its associated factors in Ethiopia.
We used the PRISMA guidelines to report the review. We searched for potentially eligible studies in Google Scholar, PubMed, Cochrane Library, and Google using Medical Subject Heading terms and keywords. The retrieved articles were screened and assessed for quality. The heterogeneity across studies was checked using Cochran's test and statistics. The pooled levels of women's utilization and associated factors were analyzed using meta-analysis. The publication bias was measured using the funnel plot and Egger's test. The subgroup analysis and sensitivity analysis were carried out to identify the studies with high effects.
A total of 11 eligible studies with 11,784 study participants were included. The utilization of MWHs was in the range of 7%-42.5%. The pooled estimate of women's utilization of maternity waiting homes was 22.49%. Factors associated with utilization included women's decision-making power, access to transport, walking distance to the nearest facility, and having a companion.
The overall prevalence of maternity waiting home utilization in Ethiopia is low, with significant variation across regions. Health sector program administrators should focus on both the consumer and healthcare system.
The review protocol was registered in PROSPERO (number CRD42021243526).
在全球范围内，孕产妇死亡率是一个重大的公共卫生问题，主要原因是分娩期间缺乏获得专业护理的机会。产妇候诊之家在孕妇分娩期间获得紧急产科护理方面发挥着关键作用。然而，现有研究关于女性对产妇候诊之家的利用情况的结果并不一致。因此，本综述的目的是确定埃塞俄比亚女性利用产妇候诊之家的合并患病率及其相关因素。
我们使用PRISMA指南报告本综述。我们使用医学主题词和关键词在谷歌学术、PubMed、Cochrane图书馆和谷歌中搜索潜在符合条件的研究。对检索到的文章进行筛选和质量评估。使用Cochran's检验和统计量检查研究间的异质性。使用荟萃分析分析女性利用情况及其相关因素的合并水平。使用漏斗图和Egger检验测量发表偏倚。进行亚组分析和敏感性分析以识别具有高效应的研究。
共纳入11项符合条件的研究，涉及11,784名研究参与者。产妇候诊之家的利用率在7% - 42.5%之间。女性利用产妇候诊之家的合并估计值为22.49%。与利用相关的因素包括女性的决策权、交通便利性、到最近设施的步行距离以及有同伴陪伴。
埃塞俄比亚产妇候诊之家的总体利用率较低，各地区存在显著差异。卫生部门项目管理人员应关注消费者和医疗保健系统。
该综述方案已在PROSPERO注册（注册号CRD42021243526）。
