Magnitude of Maternity Waiting Home Utilization and Associated Factors among Mothers Who Gave Birth In 12 Moth before Survey in Dangur District, Metekel Zone, Benishangul Gumuz Region, North West Ethiopia 2022.

Abstract

background: About 80% of people in developing countries live in rural areas, where poor access to maternity services accounts for the majority of maternal and prenatal deaths. Utilization of maternity waiting homes, which are residential facilities where women who live remotely stay and wait before giving birth at a hospital or health centre, is among the strategies to increase skilled care utilization at birth. The maternity waiting home is a new initiative in the study area, and there is no research done in the study area and region to assess the magnitude of utilization of maternity waiting homes and their associated factors. Objectives; To assess the magnitude of maternity waiting home utilization and associated factors among mothers who gave birth in 12 months before the survey in Dangur district, metekel zone, Benishangul Gumuze region, North West Ethiopia 2022. Methods: community based cross-sectional study design using a structured interviewer administered questionnaire was conducted from June 05–15/2022 among 354 mothers who gave birth in 12 months before the survey by using a simple random sampling method. Data was coded, edited, and cleaned, then entered into Epi Data version 3.1 and exported to SPSS version 25 for analysis. A descriptive, bivariate, and multivariable logistic regression analysis was done. At the end, a variable with a p-value of 0.05 by multivariate analysis was reported as significant. Result ; Total of 354 study participants were involved, with a response rate of 98%. In this study, utilization of maternity waiting home was 36.4 %( 95%CI: 31.4, 41.8). Knowledge of the presence of waiting home AOR = 9.58 (95% CI: 4.18-21.9), affordability of transportation cost AOR = 1.97 (95% CI: 2.05-3.71), Antenatal care 4 follow up AOR = 2.7 (95% CI: 2.47-15), access to transportation AOR = 1.98 (95% CI: 2.00-3.8), and travel time AOR = 2.41 (95% CI: 2.21-4.98) were factors significantly associated. Conclusion The study finding shows maternity waiting home utilization is low. The study implied knowing the presence of maternity waiting home, transportation cost, ANC 4 follow up, and access to transportation and traveling time were significantly associated with maternity home utilization.