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Midwifery. 2013 Oct;29(10):1095-102. doi: 10.1016/j.midw.2013.07.020. Epub 2013 Aug 14.

Promoting access: the use of maternity waiting homes to achieve safe motherhood.

Author information

1
Division of Health Promotion and Risk Reduction, University of Michigan, School of Nursing, 400 N. Ingalls, Room 3352, Ann Arbor, MI 48109, USA. Electronic address: jrlori@umich.edu.

Abstract

OBJECTIVE:

to examine the structural and sociocultural factors influencing maternity waiting home (MWH) use through the lens of women, families, and communities in one rural county in postconflict Liberia.

DESIGN:

an exploratory, qualitative descriptive design using focus groups and in-depth, individual interviews was employed. Content analysis of data was performed using Penchansky and Thomas's (1981) five A's of access as a guiding framework.

SETTING:

rural communities in north-central Liberia.

PARTICIPANTS:

a convenience sampling was used to recruit participants. Eight focus groups were held with 75 participants from congruent groups of (1) MWH users, (2) MWH non-users, (3) family members of MWH users, and (4) family members of MWH non-users. Eleven individual interviews were conducted with clinic staff or community leaders.

FINDINGS:

the availability of MWHs decreased the barrier of distance for women to access skilled care around the time of childbirth. Food insecurity while staying at a MWH was identified as a potential barrier by participants.

KEY CONCLUSIONS:

examining access as a general concept within the specific dimensions of availability, accessibility, accommodation, affordability, and acceptability provides a way to describe the structural and sociocultural factors that influence access to a MWH and skilled attendance for birth.

IMPLICATIONS FOR PRACTICE:

MWHs can address the barrier of distance in accessing skilled care for childbirth in a rural setting with long distances to a facility.

KEYWORDS:

Access; Maternity waiting homes; Midwifery; Safe motherhood

PMID:
24012018
PMCID:
PMC3787070
DOI:
10.1016/j.midw.2013.07.020
[Indexed for MEDLINE]
Free PMC Article

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