Evidence map›Paper›PMID 31467047›Full record

Trial reportBMJ open2019

Factors associated with maternity waiting home use among women in Jimma Zone, Ethiopia: a multilevel cross-sectional analysis.

Jaameeta Kurji, Lakew Abebe Gebretsadik, Muluemebet Abera Wordofa, Morankar Sudhakar, Yisalemush Asefa, Getachew Kiros, Abebe Mamo, Nicole Bergen, Shifera Asfaw, Kunuz Haji Bedru and 4 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  8. Impact of health literacy on pregnancy outcomes in socioeconomically disadvantaged and ethnic minority populations: A scoping review.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
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  12. Perspectives of pregnant women on the utilisation of a maternity waiting home near Onandjokwe Lutheran Hospital in Oshikoto Region, Namibia.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Jaameeta KurjiSchool of Epidemiology and Public Health, University of Ottawa, Faculty of Medicine, Ottawa, Ontario, Canada jkurj022@uottawa.ca.ORCID 0000-0001-9181-3266
Lakew Abebe GebretsadikDepartment of Health, Behaviour and Society, Jimma University, Jimma, Ethiopia.
Muluemebet Abera WordofaDepartment of Population and Family Health, Jimma University, Jimma, Ethiopia.
Morankar SudhakarDepartment of Health, Behaviour and Society, Jimma University, Jimma, Ethiopia.
Yisalemush AsefaDepartment of Health Economics, Management and Policy, Jimma University, Jimma, Ethiopia.
Getachew KirosDepartment of Health, Behaviour and Society, Jimma University, Jimma, Ethiopia.
Abebe MamoDepartment of Health, Behaviour and Society, Jimma University, Jimma, Ethiopia.
Nicole BergenFaculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada.
Shifera AsfawDepartment of Health, Behaviour and Society, Jimma University, Jimma, Ethiopia.
Kunuz Haji BedruJimma Zone Health Office, Jimma, Ethiopia.
Gebeyehu BulchaJimma Zone Health Office, Jimma, Ethiopia.
Ronald LabonteSchool of Epidemiology and Public Health, University of Ottawa, Faculty of Medicine, Ottawa, Ontario, Canada.
Monica TaljaardOttawa Hospital Research Institute, Ottawa, Ontario, Canada.
Manisha KulkarniSchool of Epidemiology and Public Health, University of Ottawa, Faculty of Medicine, Ottawa, Ontario, Canada.

Funding

CIHR
6 · The paper itself

Abstract

objectiveTo identify individual-, household- and community-level factors associated with maternity waiting home (MWH) use in Ethiopia.

designCross-sectional analysis of baseline household survey data from an ongoing cluster-randomised controlled trial using multilevel analyses.

settingTwenty-four rural primary care facility catchment areas in Jimma Zone, Ethiopia.

participants3784 women who had a pregnancy outcome (live birth, stillbirth, spontaneous/induced abortion) 12 months prior to September 2016. OUTCOME MEASURE: The primary outcome was self-reported MWH use for any pregnancy; hypothesised factors associated with MWH use included woman's education, woman's occupation, household wealth, involvement in health-related decision-making, companion support, travel time to health facility and community-levels of institutional births.

resultsOverall, 7% of women reported past MWH use. Housewives (OR: 1.74, 95% CI 1.20 to 2.52), women with companions for facility visits (OR: 2.15, 95% CI 1.44 to 3.23), wealthier households (fourth vs first quintile OR: 3.20, 95% CI 1.93 to 5.33) and those with no health facility nearby or living >30 min from a health facility (OR: 2.37, 95% CI 1.80 to 3.13) had significantly higher odds of MWH use. Education, decision-making autonomy and community-level institutional births were not significantly associated with MWH use.

conclusionsUtilisation inequities exist; women with less wealth and companion support experienced more difficulties in accessing MWHs. Short duration of stay and failure to consider MWH as part of birth preparedness planning suggests local referral and promotion practices need investigation to ensure that women who would benefit the most are linked to MWH services.

Indexed as

Health Knowledge, Attitudes, PracticeAdultBirthing CentersCross-Sectional StudiesEducational StatusEthiopiaFemaleHealth Services AccessibilityHumansLogistic ModelsMultilevel AnalysisPatient Acceptance of Health CarePregnancySocioeconomic FactorsSurveys and QuestionnairesYoung Adultcommunity child healthepidemiologyethiopiainstitutional birthsmaternity waiting homeobstetrics

Identifiers

PMID31467047
PMCPMC6720516

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.