Intention to use maternity waiting home among pregnant women in Mettu District,Southwest Ethiopia, 2018:community based study
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Date
2018-06
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Addis Ababa University
Abstract
Background: Maternity waiting homes are temporary shelters for pregnant women located
near to health institutions and endorsed as one component of a comprehensive package to
reduce maternal morbidity and mortality rates. Maternal delays in utilization of emergency
obstetric care are the contributing factors for high maternal mortality in developing countries.
Ethiopia has a high maternal mortality. Maternal waiting home helps to address the first and
second delay. Thus, the aim of implementing a MWH strategy is to reduce maternal and
perinatal mortality by improving access to skilled birth attendance.
Objective: To assess intention to use maternity waiting home among pregnant women in
Mettu district, southwest Ethiopia.
Methods: Community based quantitative cross sectional study design was conducted from
March 01-30/2018. Single population proportion formula was used to calculate sample size;
501 pregnant women. Data was collected through face-to-face interview. Data was entered by
epi data version 3.1 and analyzed using SPSS version 21. Logistic regression analysis was
done to identify independent predictors of intention at 95% confidence level and P < 0.05 was
used to determine statistically significant predictors.
Result: Intention of pregnant women to use maternity home was 48.8%. In the multivariate
logistic regression; age 25-29 years (AOR=0.37, 95%CI: 0.15, 0.90), days stayed in MWH
(AOR=11.3, 95%CI: 1.72, 19.29), subjective norm (AOR=2.81, 95%CI: 1.66, 4.75) and
perceived behavioral control (AOR=1.99, 95%CI: 1.12, 3.56) were factors associated with
intention to use it.
Conclusion and Recommendation: This study revealed that, 48.8% of the participants
intended to use maternity home. This indicated that, majority of the study participants were
not intended to use it, which is a concern because of not to use it contributes to maternal
mortality and morbidity. To increase their intention, which results in increase in utilization we
need to give focus on; health education, mobilizing community, work on the barriers,
awareness creation of husbands and advocating the home.
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Keywords
Maternal waiting home, Intention, Mettu district, pregnant women