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Intention to use Maternity Waiting Home and Determinant Factors among Pregnant Women in Misrak Badewacho District, Hadiya Zone, Southern Ethiopia: A Cross Sectional Study

Teshale D Obola, Tekleab Y Leimengo, Berhan M Herut, Deresse L Kebede

Background: Maternity Waiting Homes (MWHs) are residential facilities located near a health facility to accommodate women in their final weeks of pregnancy to bridge the geographic gap in obstetric care between rural and urban areas and areas with poor access to a facility. The world health organization adopted it as one component of a comprehensive package to prevent maternal morbidity and mortality. Yet, there is a shortage of information on the magnitude of intention and utilization of MWH among pregnant women in the study area. The purpose of the study was to assess intention to use MWH and associated factors among pregnant women.

Methods: Community based cross-sectional study was conducted from February 20-March15, 2019 and structured questionnaire was used to collect data by face to face interview from 556 pregnant women. The data were entered into EPI data version 3.1 and binary logistic regression analysis was performed using SPSS version 20 to determine significant factors related to intention to use MWH. Adjusted Odds Ratio (AOR) was used to assess the strength of association between independent and dependent variables.

Results: A total of 556 pregnant women were participating in the study with a 99% response rate and 44.6% pregnant women were intended to use MWH with 95% CI(41%, 48%). After adjusting for possible confounders, educational status ((AOR)=4(95% CI: 2.1,8.2)), ANC visits (AOR=3.7(95% CI: 2,7.2)), experience of MWH (AOR=2.6(95% CI:1.6, 4.3)), direct attitude (AOR=2.3(95% CI:1.5, 3.5)) and direct perceived behavioral control (AOR =3.3(95% CI:2.1, 4.9)) were significant predictors of intention to use MWH.

Conclusion: Educational status, ANC visit, the experience of MWH, direct attitude and direct perceived behavioral control were predictors of intention to use MWH. To scale up the mothers intention about utilization of MWH and to overcome the challenges, the district and community should focus on health education and raising awareness about the usefulness of MWH, promoting ANC visit, promoting family and community support, and mitigating logistical barriers.