ArticleFrontiers in global women's health2025
Midwives' willingness to provide home-based maternity and child health care, along with the associated factors and barriers, in Gondar, Ethiopia.
Article in Frontiers in global women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Many Ethiopian mothers and their infants do not have access to maternity and child health care during the first week after birth, increasing their risk of becoming ill or dying. Midwives doing maternity and child health care home visits could improve the overall maternity and child health care experience. There is inadequate empirical evidence to show the desire of midwives to implement home-based maternity and child health care in low-income countries like Ethiopia. Methods: Between February 27 and October 27, 2023, 423 midwives participated in an institutional-based mixed methods, cross-sectional study. For the quantitative study, data were collected using a standardized self-administered questionnaire, whereas for the qualitative study, we conducted in-depth interviews with 12 midwives'. Bivariate and multivariable logistic regression analyses were performed. The adjusted odds ratio with confidence intervals at Result: The percentage of midwives' who would be willing to offer child health care and home-based maternity care was 74.3%, with a 95% confidence interval between 74% and 77.4%. A strong correlation was found between midwives' high level of willingness to Implement home-based maternity and child health care and their history of obstetrics-related family loss (aOR: 2.2 with CI (1.04-4.8), Conclusion and recommendation: This study found that many midwives were willing to offer child health care and home-based maternity services. Establishing and implementing a home-based maternity and child healthcare service requires sufficient manpower, facility equipment, and access infrastructure.
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