Patient Satisfaction With Maternity Waiting Homes in Liberia: A Case Study During the Ebola Outbreak

Lori, Jody R.; Munro‐Kramer, Michelle L.; Shifman, Jordan; Amarah, Patricia N. M.; Williams, Garfee

doi:10.1111/jmwh.12600

Cited by 17 publications

(28 citation statements)

References 32 publications

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“…Such sessions could also improve the quality of the experience at the MWH by providing a close bond among the MWH users and also among the staff and the MWH users. A qualitative study of MWH users in Liberia found that women valued a restful and supportive environment and that loneliness can be an issue at the time of delivery [ 22 ]. A review of the determinants of satisfaction with maternal health services in low and middle income countries, indicated that women value information and counseling from providers [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a maternity waiting home and community education program in two districts of Malawi

Singh

Speizer

Kim

et al. 2018

BMC Pregnancy Childbirth

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BackgroundThe implementation of Maternity Waiting Homes (MWHs) is a strategy to bring vulnerable women close to a health facility towards the end of their pregnancies. To date, while MWHs are a popular strategy, there is limited evidence on the role that MWHs play in reaching women most in need. This paper contributes to this topic by examining whether two program-supported MWHs in Malawi are reaching women in need and if there are changes in women reached over time.MethodsTwo rounds of exit interviews (2015 and 2017) were conducted with women within 3 months of delivery and included both MWH users and non-MWH users. These exit interviews included questions on sociodemographic factors, obstetric risk factors and use of health services. Bivariate statistics were used to compare MWH users and non-MWH users at baseline and endline and over time. Multivariable logistic regression was used to determine what factors were associated with MWH use, and Poisson regression was used to study factors associated with HIV knowledge. Descriptive data from discharge surveys were used to examine satisfaction with the MWH structure and environment over time.ResultsPrimiparous women were more likely to use a MWH compared to women of parity 2 (p < 0.05). Women who were told they were at risk of a complication were more likely to use a MWH compared to those who were not told they were at risk (p < 0.05). There were also significant findings for wealth and time to a facility, with poorer women and those who lived further from a facility being more likely to use a MWH. Attendance at a community event was associated with greater knowledge of HIV (p < 0.05).ConclusionsMWHs have a role to play in efforts to improve maternal health and reduce maternal mortality. Education provided within the MWHs and through community outreach can improve knowledge of important health topics. Malawi and other low and middle income countries must ensure that health facilities affiliated with the MWHs offer high quality services.Electronic supplementary materialThe online version of this article (10.1186/s12884-018-2084-7) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Evaluation of a maternity waiting home and community education program in two districts of Malawi

Singh

Speizer

Kim

et al. 2018

BMC Pregnancy Childbirth

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“…Lori et al state that traditional birth attendants have taken responsibility for the cleaning of the MWHs as well as to support the pregnant women. 13 In another study, Lori et al found that births increased and maternal mortality decreased in communities with MWHs that employed both skilled and traditional birth attendants compared to communities without such MWHs. 22 This approach is worth testing in other low-income countries, such as Ethiopia, to bridge the cultural gap between the community and the MWH/facility.…”

Section: Plan-do-check-actmentioning

confidence: 98%

“…10 Interventions with a proven significant impact on maternal and newborn survival in low-and middle-income countries include family planning, management of unwanted pregnancies, provision of focused antenatal care, active management of the third stage of labor, neonatal resuscitation with bag and mask, and immediate thermal care. 11 The studies by Vian et al 12 and Lori et al 13 in this issue of the Journal concern maternity waiting homes (MWHs). This intervention has the potential to contribute toward reducing maternal and perinatal deaths, but only when implemented within a broader structure aimed at improving maternal and neonatal outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Maternity Waiting Homes as Part of an Integrated Program for Maternal and Neonatal Health Improvements: Women's Lives Are Worth Saving

Vermeiden¹,

Stekelenburg²

2017

J Midwife Womens Health

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“…Responders arrived on the ground to scarce resources and historically rooted political instabilities that strained their best efforts. Communities questioned the trustworthiness of government messaging surrounding Ebola transmission 6–10. Healthcare workers themselves lost trust in the safety of their workplace as coworkers died 6.…”

Section: Introduction: Trust As a Social Technologymentioning

confidence: 99%

Technologies of trust in epidemic response: openness, reflexivity and accountability during the 2014–2016 Ebola outbreak in West Africa

2019

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Trust is an essential component of successful cooperative endeavours. The global health response to the 2014–2016 West Africa Ebola outbreak confronted historically tenuous regional relationships of trust. Challenging sociopolitical contexts and initially inappropriate communication strategies impeded trustworthy relationships between communities and responders during the epidemic. Social scientists affiliated with the Ebola 100-Institut Pasteur project interviewed approximately 160 local, national and international responders holding a wide variety of roles during the epidemic. Focusing on responder’s experiences of communities’ trust during the epidemic, this qualitative study identifies and explores social techniques for effective emergency response. The response required individuals with diverse knowledges and experiences. Responders’ included on-the-ground social mobilisers, health workers and clinicians, government officials, ambulance drivers, contact tracers and many more. We find that trust was fostered through open, transparent and reflexive communication that was adaptive and accountable to community-led response efforts and to real-time priorities. We expand on these findings to identify ‘technologies of trust’ that can be used to promote actively legitimate trustworthy relationships. Responders engaged the social technologies of openness (a willingness and genuine effort to incorporate multiple perspectives), reflexivity (flexibly responsive to context and ongoing dialogue) and accountability (taking responsibility for local contexts and consequences) to facilitate relations of trust. Technologies of trust contribute to the development of a framework of practical techniques to improve the acceptance and effectiveness of future emergency response strategies

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Patient Satisfaction With Maternity Waiting Homes in Liberia: A Case Study During the Ebola Outbreak

Abstract: This case study demonstrated that women using MWHs in Bong County, Liberia are generally satisfied with their experience and plan to use an MWH again during future pregnancies to access a skilled birth attendant for birth. Women are also willing to encourage family and friends to use MWHs.

Cited by 17 publications

References 32 publications

Evaluation of a maternity waiting home and community education program in two districts of Malawi

Evaluation of a maternity waiting home and community education program in two districts of Malawi

Maternity Waiting Homes as Part of an Integrated Program for Maternal and Neonatal Health Improvements: Women's Lives Are Worth Saving

Technologies of trust in epidemic response: openness, reflexivity and accountability during the 2014–2016 Ebola outbreak in West Africa

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