Effectiveness of upgraded maternity waiting homes and local leader training on improving institutional births : a cluster-randomized controlled trial in Jimma, Ethiopia

Abstract

The objective of this cluster randomized trial was to evaluate the effectiveness of functional maternity waiting homes (MWH) combined with community mobilization by trained local leaders in improving institutional births in Jimma Zone, Ethiopia. MWHs are residential spaces for pregnant women located near to obstetric care facilities, which are being used to tackle physical barriers to access. Findings show both intervention groups exhibited a non-statistically significant higher odds of institutional births compared to usual care. Both the combined MWH and leader training, and leader training alone, led to a small but non-significant increase in institutional births.

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Keywords

MATERNAL AND CHILD HEALTH, HEALTH FACILITIES, OBSTETRICS, PREGNANCY, BIRTH, WOMEN’S HEALTH, HEALTH CARE DELIVERY, ETHIOPIA, SOUTH OF SAHARA

Citation

DOI