Maternity waiting homes: A panacea for maternal/neonatal conundrums in Eritrea

Andemichael, Girmay; Haile, Belete; Kosia, Andrew; Mufunda, J

doi:10.4314/jema.v4i1.52112

Cited by 31 publications

(46 citation statements)

References 9 publications

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“…Although the government of Ethiopia has free‐of‐charge maternity services in public facilities throughout the country, there are still OOP payments for medical expenses for some aspects of maternity care, which was in accordance with our finding that a small amount of medical cost for delivery care used to buy drugs outside of the study setting was recorded. Other previous studies related to MWH did not aim to measure the health care expenditures; those studies just partially measured the costs or qualitatively described without measuring actual amount of expenditures …”

Section: Discussionmentioning

confidence: 99%

Health care expenditure for delivery care between maternity waiting home users and nonusers inEthiopia

Getachew

Liabsuetrakul

2019

Health Planning & Management

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Summary Objective To compare the health care expenditures between maternity waiting home (MWH) users and nonusers in Ethiopia. Methods A cross‐sectional study was done in Ethiopia between December 2017 and June 2018. The study setting included eight health facilities in the Gurage zone of Ethiopia. Health expenditure for delivery care was the outcome variable that was then classified into out‐of‐pocket (OOP) payments, women's costs, total costs, and overall costs. Those health expenditures were then compared among MWH users and nonusers. OOP payments were further analyzed using quantile regression to explore associated factors. Results A total of 812 postpartum women were included in this study of whom half were MWH users. Significantly higher OOP payment, women's costs, total costs, and overall cost were found among MWH users compared with nonusers regardless of duration of MWH stay. The MWH users were more likely to have higher OOP payment compared with MWH nonusers in linear and quantile regressions for both unadjusted and adjusted analyses. Higher OOP payments were observed for longer distance traveled and cesarean section (CS) delivery women at the 75th and 90th quantiles of expenditure. Using public transportation was significantly associated with higher OOP payment in all quantile levels. Conclusion Utilization of MWH incurred higher OOP payments, total costs, women's costs, and overall costs compared with MWH nonusers. Higher OOP payments for delivery care among MWH users were observed in all quantiles of expenditure.

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Section: Discussionmentioning

confidence: 99%

Health care expenditure for delivery care between maternity waiting home users and nonusers inEthiopia

Getachew

Liabsuetrakul

2019

Health Planning & Management

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“…Incorporating women’s needs for comfort by integrating cultural practices helps to negotiate the space between these systems while maintaining positive outcomes. Traditional birth attendants encouraging and referring a woman to MWHs was cited in an Eritrean study as an influential factor in use (Andemichael et al, 2010). …”

Section: Literature Reviewmentioning

confidence: 99%

Promoting access: The use of maternity waiting homes to achieve safe motherhood

Lori¹,

Wadsworth²,

Munro³

et al. 2013

Midwifery

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“…Although some MWHs have shown evidence of their value by reducing MMRs, there is a dearth of information on their economic practicality. A scoping review of the scientific literature on MWHs and neonatal outcomes in LMICs identified only one study recommending the scaling up of MWHs based on their cost‐effectiveness …”

Section: Introductionmentioning

confidence: 99%

Maternity waiting homes as a cost‐effective intervention in rural Liberia

Buser

Munro‐Kramer

Carney

et al. 2019

Intl J Gynecology & Obste

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Objective To analyze the cost‐effectiveness of maternity waiting homes (MWHs) in rural Liberia by examining the cost per life saved and economic effect of MWHs on maternal mortality. Methods A cost‐effectiveness analysis was used to evaluate costs and economic effect of MWHs on maternal mortality in rural Liberia to guide future resource allocation. A secondary data analysis was performed based on a prior quasi‐experimental cohort study of 10 rural primary healthcare facilities, five with a MWH and five without a MWH, that took place from October 30, 2010 to February 28, 2015. Results Calculations signified a low cost per year of life saved at MWHs in a rural district in Liberia. Total population‐adjusted number of women's lives saved over 3 years was 6.25. Conclusion While initial costs were considerable, over a period of 10 or more years MWHs could be a cost‐effective and affordable strategy to reduce maternal mortality rates in Liberia. Discussion of the scaling up of MWH interventions for improving maternal outcomes in Liberia and other low‐ and middle‐income countries is justified. Findings can be used to advocate for policy changes to increase the apportionment of resources for building more MWHs in low resource settings.

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Maternity waiting homes: A panacea for maternal/neonatal conundrums in Eritrea

Cited by 31 publications

References 9 publications

Health care expenditure for delivery care between maternity waiting home users and nonusers inEthiopia

Health care expenditure for delivery care between maternity waiting home users and nonusers inEthiopia

Promoting access: The use of maternity waiting homes to achieve safe motherhood

Maternity waiting homes as a cost‐effective intervention in rural Liberia

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