Trial reportBJOG : an international journal of obstetrics and gynaecology2021
Increasing facility delivery through maternity waiting homes for women living far from a health facility in rural Zambia: a quasi-experimental study.
Trial report in BJOG : an international journal of obstetrics and gynaecology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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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.
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Who cites it
11 citing papers in PubMed, 13 citations in OpenAlex.
- Factors associated with knowledge and attitude towards maternity waiting homes among pregnant women: baseline results from a cluster-randomized trial in rural Ethiopia.Scientific reports · 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
- Maternity Waiting Home Utilization and Associated Factors Among Women Who Had Given Birth in the Hard-to-Reach Region of Western Ethiopia: A Mixed-Study.Health science reports · 2025Article
- Implementation fidelity of a multisite maternity waiting homes programme in rural Zambia: application of the conceptual framework for implementation fidelity to a complex, hybrid-design study.BMJ public health · 2025Article
- Determinants of maternal healthcare utilisation among pregnant women in Southern Ethiopia: a multi-level analysis.BMC pregnancy and childbirth · 2023Article
- Postnatal care services in rural Zambia: a qualitative exploration of user, provider, and community perspectives on quality of care.BMC pregnancy and childbirth · 2023Article
- A cost description of the setup costs of community-owned maternity waiting homes in rural Zambia.PLOS global public health · 2023Article
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- Direct and opportunity costs related to utilizing maternity waiting homes in rural Zambia.Midwifery · 2022Article
- If we build it, will they come? Results of a quasi-experimental study assessing the impact of maternity waiting homes on facility-based childbirth and maternity care in Zambia.BMJ global health · 2021Article
Corrections and comments
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Authors and funding
22 authors at 5 institutions in 2 countries.
Funding
Abstract
objectiveTo report on the effectiveness of a standardised core Maternity Waiting Home (MWH) model to increase facility deliveries among women living >10 km from a health facility.
designQuasi-experimental design with partial randomisation at the cluster level.
settingSeven rural districts in Zambia. POPULATION: Women delivering at 40 health facilities between June 2016 and August 2018.
methodsTwenty intervention and 20 comparison sites were used to test whether MWHs increased facility delivery for women living in rural Zambia. Difference-in-differences (DID) methodology was used to examine the effectiveness of the core MWH model on our identified outcomes.
main outcome measuresDifferences in the change from baseline to study period in the percentage of women living >10 km from a health facility who: (1) delivered at the health facility, (2) attended a postnatal care (PNC) visit and (3) were referred to a higher-level health facility between intervention and comparison group.
resultsWe detected a significant difference in the percentage of deliveries at intervention facilities with the core MWH model for all women living >10 km away (DID 4.2%, 95% CI 0.6-7.6, P = 0.03), adolescent women (<18 years) living >10 km away (DID 18.1%, 95% CI 6.3-29.8, P = 0.002) and primigravida women living >10 km away (DID 9.3%, 95% CI 2.4-16.4, P = 0.01) and for women attending the first PNC visit (DID 17.8%, 95% CI 7.7-28, P < 0.001).
conclusionThe core MWH model was successful in increasing rates of facility delivery for women living >10 km from a healthcare facility, including adolescent women and primigravidas and attendance at the first PNC visit. TWEETABLE ABSTRACT: A core MWH model increased facility delivery for women living >10 km from a health facility including adolescents and primigravidas in Zambia.
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