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2017 ; 32
(10
): 1354-1360
Nephropedia Template TP
gab.com Text
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A new use for an old tool: maternity waiting homes to improve equity in rural
childbirth care Results from a cross-sectional hospital and community survey in
Tanzania
#MMPMID29040509
Fogliati P
; Straneo M
; Mangi S
; Azzimonti G
; Kisika F
; Putoto G
Health Policy Plan
2017[Dec]; 32
(10
): 1354-1360
PMID29040509
show ga
Limited quality of childbirth care in sub-Saharan Africa primarily affects the
poor. Greater quality is available in facilities providing advanced management of
childbirth complications. We aimed to determine whether Maternity Waiting Homes
(MWHs) may be a tool to improve access of lower socio-economic women to such
facilities. Secondary analysis of a cross-sectional hospital survey from Iringa
District, Tanzania was carried out. Women who delivered between October 2011 and
May 2012 in the only District facility providing comprehensive Emergency
Obstetric Care were interviewed. Their socio-economic profile was obtained by
comparison with District representative data. Multivariable logistic regression
was used to compare women who had stayed in the MWH before delivery with those
who had accessed the hospital directly. Out of 1072 study participants, 31.3% had
accessed the MWH. In multivariable analysis, age, education, marital status and
obstetric factors were not significantly associated with MWH stay. Adjusted odds
ratios for MWH stay increased progressively with distance from the hospital
(women living 6-25?km, OR 4.38; 26-50?km, OR 4.90; >50?km, OR 5.12). In adjusted
analysis, poorer women were more likely to access the MWH before hospital
delivery compared with the wealthiest quintile (OR 1.38). Policy makers should
consider MWH as a tool to mitigate inequity in rural childbirth care.
|*Hospitals
[MESH]
|*Rural Population
[MESH]
|*Surveys and Questionnaires
[MESH]
|Adolescent
[MESH]
|Adult
[MESH]
|Community Health Centers/*statistics & numerical data
[MESH]