ArticleReproductive health2017
The influence of quality maternity waiting homes on utilization of facilities for delivery in rural Zambia.
Article in Reproductive health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01241318 (Impact of Chlorhexidine Cord Cleansing for Prevention of Neonatal Mortality in Zambia), which is not on this map. Cited by 46 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Impact of Chlorhexidine Cord Cleansing for Prevention of Neonatal Mortality in Zambia
Who cites it
46 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Umbilical cord antiseptics for preventing sepsis and death among newborns.The Cochrane database of systematic reviews · 2026Pooled it
- Methods to derive composite indicators used for quality and safety measurement and monitoring in healthcare: a scoping review.Frontiers in health services · 2026Pooled it
- Access to maternity waiting home services and its determinants among women in Ethiopia: systematic reviews and meta-analysis.Frontiers in global women's health · 2024Pooled it
- The significant association between maternity waiting homes utilization and perinatal mortality in Africa: systematic review and meta-analysis.BMC research notes · 2019Pooled it
- Evaluation of a community-based intervention package to improve knowledge of obstetric danger signs, birth preparedness, and institutional delivery care utilization in Arba Minch Zuria District, Ethiopia: a cluster-randomized trial.Reproductive health · 2023Trial
- Increasing facility delivery through maternity waiting homes for women living far from a health facility in rural Zambia: a quasi-experimental study.BJOG : an international journal of obstetrics and gynaecology · 2021Trial
- Determinants of access to maternal healthcare services among women in the Wolaita Zone, Southern Ethiopia: an unmatched case‒control study.BMC women's health · 2025Article
- Spatial profiling of geographical accessibility to maternal healthcare and coverage of maternal health service utilisation in Nepal: a geospatial analysis based on demographic and health survey.BMJ global health · 2025Article
- Qualitative application of the diffusion of innovation theory to maternity waiting homes in rural Zambia.Implementation science communications · 2025Article
- Influence of Maternal Waiting Homes in Pregnancy-Related Complications: A Case-Control Study in Sipepa Ward 5, Tsholotsho District Zimbabwe.Health services insights · 2025Article
- Article
- Assessment of infrastructure, behaviours, and user satisfaction of guardian waiting shelters for secondary level hospitals in southern Malawi.PLOS global public health · 2024Article
- Postpartum resolution of hypertension, proteinuria and acute kidney injury among women with preeclampsia and severe features at Mulago National Referral Hospital, Uganda: a cohort study.African health sciences · 2023Article
- A cost description of the setup costs of community-owned maternity waiting homes in rural Zambia.PLOS global public health · 2023Article
- Impact of beliefs on perception of newborn illness, caregiver behaviors, and care-seeking practices in Zambia's Southern province.PloS one · 2023Article
- Benefits, barriers and enablers of maternity waiting homes utilization in Ethiopia: an integrative review of national implementation experience to date.BMC pregnancy and childbirth · 2022Review
- Understanding maternity waiting home uptake and scale-up within low-income and middle-income countries: a programme theory from a realist review and synthesis.BMJ global health · 2022Review
- Article
- Care-Seeking Behavior for Newborns in Rural Zambia.Maternal and child health journal · 2022Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundResidential accommodation for expectant mothers adjacent to health facilities, known as maternity waiting homes (MWH), is an intervention designed to improve access to skilled deliveries in low-income countries like Zambia where the maternal mortality ratio is estimated at 398 deaths per 100,000 live births. Our study aimed to assess the relationship between MWH quality and the likelihood of facility delivery in Kalomo and Choma Districts in Southern Province, Zambia.
methodsWe systematically assessed and inventoried the functional capacity of all existing MWH using a quantitative facility survey and photographs of the structures. We calculated a composite score and used multivariate regression to quantify MWH quality and its association with the likelihood of facility delivery using household survey data collected on delivery location in Kalomo and Choma Districts from 2011-2013.
resultsMWH were generally in poor condition and composite scores varied widely, with a median score of 28.0 and ranging from 12 to 66 out of a possible 75 points. Of the 17,200 total deliveries captured from 2011-2013 in 40 study catchment area facilities, a higher proportion occurred in facilities where there was either a MWH or the health facility provided space for pregnant waiting mothers compared to those with no accommodations (60.7% versus 55.9%, p <0.001). After controlling for confounders including implementation of Saving Mothers Giving Life, a large-scale maternal health systems strengthening program, among women whose catchment area facilities had an MWH, those women with MWHs in their catchment area that were rated medium or high quality had a 95% increase in the odds of facility delivery than those whose catchment area MWHs were of poor quality (OR: 1.95, 95% CI 1.76, 2.16).
conclusionsImproving both the availability and the quality of MWH represents a potentially useful strategy to increasing facility delivery in rural Zambia.
trial registrationThe Zambia Chlorhexidine Application Trial is registered at Clinical Trials.gov (identifier: NCT01241318).
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.