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SYSTEMATIC REVIEW article

Front. Glob. Womens Health
Sec. Maternal Health
Volume 5 - 2024 | doi: 10.3389/fgwh.2024.1423639
This article is part of the Research Topic Maternal Health Services Utilization in Sub-Saharan Africa View all 10 articles

Access to maternity waiting home services and its determinants among women in Ethiopia: Systematic reviews and meta-analysis

Provisionally accepted
Kassahun T. Hidoto Kassahun T. Hidoto 1*Kassa D. Gidebo Kassa D. Gidebo 1Mengistu Koyira Mengistu Koyira 1Maria Luisa G. Domínguez Maria Luisa G. Domínguez 2
  • 1 Wolaita Sodo University, Sodo, Ethiopia
  • 2 Department of preventive medicine and Public Health, Food Science, Toxicology, and Legal Medicine, University of Valencia, Valencia, Spain., Valencia, Spain

The final, formatted version of the article will be published soon.

    Introduction: Globally, maternal mortality is a major public health problem mainly due to a lack of access to skilled care during childbirth. Maternity waiting homes play a critical role in accessing emergency obstetric care for pregnant women during childbirth. However, the available studies showing inconsistent findings about women's utilization level of maternity waiting homes. Therefore, this review aimed to identify the pooled prevalence of women's utilization of maternity waiting homes and associated factors in Ethiopia.We used the PRISMA guideline to report the review. We searched for potentially eligible studies in Google Scholar, PubMed, Cochrane Library, and Google search engine using Medical Subject Heading terms and keywords. The retrieved articles were screened and assessed for quality. The heterogeneity across studies was checked using Cochran's Q test and I 2 statistics.The pooled levels of women's utilization and associated factors were analyzed using Metaanalysis. The publication bias was measured using the funnel plot and Egger's test. Sub-group analysis and sensitivity analysis were done to identify the studies with high effects.Result: A total of 11 eligible studies with 11,784 study participants were included. The utilization of MWH ranged from 7% to 42.5%. The pooled estimate of women's utilization of maternity waiting homes revealed 22.49%. The associated factors included; women's decisionmaking power, access to transport, walking distance to the nearest facility, and having a companion.The overall maternity waiting home utilization prevalence in Ethiopia is low with significant variation across the regions. The program administrators in the health sector should work on the consumers' side and the healthcare system's side.The review protocol was registered in PROSPERO with the number CRD42021243526.

    Keywords: Women, Maternity waiting home, utilization, Systematic review, Meta-analysis, Ethiopia

    Received: 26 Apr 2024; Accepted: 06 Nov 2024.

    Copyright: © 2024 Hidoto, Gidebo, Koyira and Domínguez. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Kassahun T. Hidoto, Wolaita Sodo University, Sodo, Ethiopia

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.