Utilization of Maternity Waiting Homes to Increase Uptake of Immediate Postpartum Family Planning in Primary Health Care Facilities in Ethiopia

Abstract

Background: Maternity waiting home (MWH) within primary health care facilities is an ideal platform to reach women with family planning education and counseling. MWH users interact with health care providers on a regular basis throughout their waiting period and can prepare to initiate family planning method of their choice immediately after childbirth. However, to date, there has been no clear evidence about the use of MWHs to increase uptakes of immediate postpartum family planning (IPPFP). Therefore, the aim of this study is to assess the contribution of MWHs to increase IPPFP uptake among women who deliver in health facilities in Ethiopia.Methods: A comparative cross-sectional study design was conducted to collect quantitative data from women who gave birth in the past 12 months. Multi-stage random sampling procedures were employed to select 884 women. Descriptive summary and logistic regression with 95% confidence intervals were conducted in Stata 14 to analyze the data.Result: The prevalence of IPPFP use among women who used MWHs was 44% and 36% among those who did not use MWHs. The use of MWHs significantly contributed to increase immediate postpartum family planning uptake (OR = 1.48, 95% CI = 1.08- 2.04, p=.016).Conclusions: This study showed that, MWHs significantly contributed for improving IPPFP uptake by an average of 8%-point difference for beneficiaries within 48 hours after delivery. Developing a comprehensive package of service for maternal care has the potential to improve family planning uptake of postpartum women. Women’s who have used maternity waiting home more likely utilized postpartum family planning than women who have not used maternity waiting home. Providing a comprehensive package of services, including family planning information and counseling, in maternity waiting homes can have a positive impact on improving postpartum family planning use.

Benefits, barriers and enablers of maternity waiting homes utilization in Ethiopia: an integrative review of national implementation experience to date

“…Nine of the studies showed a correlation between MWHs and improved access to maternal health services, particularly skilled childbirth care [14,28,30,32,33,37,43,45,46]. MWHs strategy has been a means for increasing the demand for maternity care, improving geographic access to childbirth, addressing the second delay, delay in reaching a health center and enabling more timely and comprehensive obstetric care [14,28,33,37,39,46].…”

A systematic review and meta-analysis of immediate postpartal intrauterine contraceptive device use in Ethiopia

“…Institutional delivery and child immunization are the determinants most related with voluntary use of IPPIUCD [ 12 , 13 ]. Different articles have verified the necessity of effective counseling and community participation to improve IPPIUCD use [ 12 , 13 , 14 , 15 ].…”

“…Institutional delivery and child immunization are the determinants most related with voluntary use of IPPIUCD [ 12 , 13 ]. Different articles have verified the necessity of effective counseling and community participation to improve IPPIUCD use [ 12 , 13 , 14 , 15 ]. The difficulties identified for IPPIUCD use were perceiving low risk of conception during the postpartal period among health care professionals and most importantly women needed to use the method, small rate of institutional deliveries, and cultural restrictions [ 16 , 17 , 18 ].…”

Utilisation of maternity waiting homes and its associated factors in Ethiopia: Systematic reviews and meta-analysis

“…12 Different primary studies were conducted in Ethiopia and estimated the prevalence of maternity-waiting home utilisation. [13][14][15][16][17][18][19][20][21][22][23][24] According to these separate studies, the prevalence of maternity-waiting home use among Ethiopian women ranges from 7% 16 to 68.8%, 17 and there was a significant variation and inconsistency in the prevalence of maternity-waiting home use among women across the country. Similarly, the factors associated with the utilisation of MWHs were different from study to study.…”

“…Similarly, the factors associated with the utilisation of MWHs were different from study to study. [13][14][15][16][17]19,[21][22][23]25,26 The variation mentioned above in the prevalence and determinants of MWH use among Ethiopian women needs to be pooled and utilised at the national level. As a result, it is critical to have summarised evidence on the prevalence rate and determinants of MWH use among women.…”