A Policy Discussion on Maternity Waiting Home in Zambia to Achieve Its Vision 2030 on Maternal and Perinatal Mortality

Israel Oluwaseyidayo Idris; Damilola Araoye; Obasi David Chijioke; Nataliia Gavkalova

doi:doi:10.11648/j.jfmhc.20200601.11

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A Policy Discussion on Maternity Waiting Home in Zambia to Achieve Its Vision 2030 on Maternal and Perinatal Mortality

Israel Oluwaseyidayo Idris, Damilola Araoye, Obasi David Chijioke, Nataliia Gavkalova

Published in Journal of Family Medicine and Health Care (Volume 6, Issue 1)

Received: 30 December 2019 Accepted: 17 January 2020 Published: 31 January 2020

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Abstract

Maternal and child health, with a focus on perinatal health, remains an area of focus for developing countries. Zambia has identified maternal and child health as an area of concentration in its 2030 vision agenda, with the goal of achieving less than 180 maternal deaths per 100, 000 live births by 2030. So far, interventions executed by the government include improving birthing space and providing higher quality services such as emergency obstetric care, post-abortion care and encouraging community level advocacy by safe motherhood action groups. However, the high perinatal and maternal mortality rate in Zambia is associated with the low accessibility to quality obstetric care as a result of delays in decision to seek care, delays in reaching care centers, and delays in receiving care. Consequently, Maternal Waiting Homes (MWH) has been identified as a tool for reducing maternal and perinatal mortality. It is currently being used in Zambia but there is limited data on the operation and its impact. The evidence on MWH for this paper was based on the aggregate review of numerous studies. These identified MWH as an effective, equitable and cost-effective intervention but without concrete evidence of its acceptance. The effectiveness is highly dependent on its strength to promptly identify and refer high-risk pregnant women to skilled obstetric care. In addition, other non-medical interventions including strengthening family planning program at the grassroots level and integration of community mobilization in the MWH program with service quality improvement were recognized as successful. However, the utilization of MWHS has been low in most low- and middle-income countries (LMICs). This paper also describes potential implications of the MWHs on the political, economic, and social and development sectors of the country. In all, it recommends the upgrading and strengthening of MWH and its health system in Zambia, alongside integration of other suggested interventions.

Published in	Journal of Family Medicine and Health Care (Volume 6, Issue 1)
DOI	10.11648/j.jfmhc.20200601.11
Page(s)	1-7
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Effectiveness of MWHs, Equity of MWHs, Safety and Acceptability of MWHs, MWH in Developing Countries, Interventions for Reducing Perinatal Mortality, Maternal and Perinatal Mortality

References

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APA Style

Israel Oluwaseyidayo Idris, Damilola Araoye, Obasi David Chijioke, Nataliia Gavkalova. (2020). A Policy Discussion on Maternity Waiting Home in Zambia to Achieve Its Vision 2030 on Maternal and Perinatal Mortality. Journal of Family Medicine and Health Care, 6(1), 1-7. https://doi.org/10.11648/j.jfmhc.20200601.11

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ACS Style

Israel Oluwaseyidayo Idris; Damilola Araoye; Obasi David Chijioke; Nataliia Gavkalova. A Policy Discussion on Maternity Waiting Home in Zambia to Achieve Its Vision 2030 on Maternal and Perinatal Mortality. J. Fam. Med. Health Care 2020, 6(1), 1-7. doi: 10.11648/j.jfmhc.20200601.11

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AMA Style

Israel Oluwaseyidayo Idris, Damilola Araoye, Obasi David Chijioke, Nataliia Gavkalova. A Policy Discussion on Maternity Waiting Home in Zambia to Achieve Its Vision 2030 on Maternal and Perinatal Mortality. J Fam Med Health Care. 2020;6(1):1-7. doi: 10.11648/j.jfmhc.20200601.11

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@article{10.11648/j.jfmhc.20200601.11,
  author = {Israel Oluwaseyidayo Idris and Damilola Araoye and Obasi David Chijioke and Nataliia Gavkalova},
  title = {A Policy Discussion on Maternity Waiting Home in Zambia to Achieve Its Vision 2030 on Maternal and Perinatal Mortality},
  journal = {Journal of Family Medicine and Health Care},
  volume = {6},
  number = {1},
  pages = {1-7},
  doi = {10.11648/j.jfmhc.20200601.11},
  url = {https://doi.org/10.11648/j.jfmhc.20200601.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20200601.11},
  abstract = {Maternal and child health, with a focus on perinatal health, remains an area of focus for developing countries. Zambia has identified maternal and child health as an area of concentration in its 2030 vision agenda, with the goal of achieving less than 180 maternal deaths per 100, 000 live births by 2030. So far, interventions executed by the government include improving birthing space and providing higher quality services such as emergency obstetric care, post-abortion care and encouraging community level advocacy by safe motherhood action groups. However, the high perinatal and maternal mortality rate in Zambia is associated with the low accessibility to quality obstetric care as a result of delays in decision to seek care, delays in reaching care centers, and delays in receiving care. Consequently, Maternal Waiting Homes (MWH) has been identified as a tool for reducing maternal and perinatal mortality. It is currently being used in Zambia but there is limited data on the operation and its impact. The evidence on MWH for this paper was based on the aggregate review of numerous studies. These identified MWH as an effective, equitable and cost-effective intervention but without concrete evidence of its acceptance. The effectiveness is highly dependent on its strength to promptly identify and refer high-risk pregnant women to skilled obstetric care. In addition, other non-medical interventions including strengthening family planning program at the grassroots level and integration of community mobilization in the MWH program with service quality improvement were recognized as successful. However, the utilization of MWHS has been low in most low- and middle-income countries (LMICs). This paper also describes potential implications of the MWHs on the political, economic, and social and development sectors of the country. In all, it recommends the upgrading and strengthening of MWH and its health system in Zambia, alongside integration of other suggested interventions.},
 year = {2020}
}

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TY  - JOUR
T1  - A Policy Discussion on Maternity Waiting Home in Zambia to Achieve Its Vision 2030 on Maternal and Perinatal Mortality
AU  - Israel Oluwaseyidayo Idris
AU  - Damilola Araoye
AU  - Obasi David Chijioke
AU  - Nataliia Gavkalova
Y1  - 2020/01/31
PY  - 2020
N1  - https://doi.org/10.11648/j.jfmhc.20200601.11
DO  - 10.11648/j.jfmhc.20200601.11
T2  - Journal of Family Medicine and Health Care
JF  - Journal of Family Medicine and Health Care
JO  - Journal of Family Medicine and Health Care
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PB  - Science Publishing Group
SN  - 2469-8342
UR  - https://doi.org/10.11648/j.jfmhc.20200601.11
AB  - Maternal and child health, with a focus on perinatal health, remains an area of focus for developing countries. Zambia has identified maternal and child health as an area of concentration in its 2030 vision agenda, with the goal of achieving less than 180 maternal deaths per 100, 000 live births by 2030. So far, interventions executed by the government include improving birthing space and providing higher quality services such as emergency obstetric care, post-abortion care and encouraging community level advocacy by safe motherhood action groups. However, the high perinatal and maternal mortality rate in Zambia is associated with the low accessibility to quality obstetric care as a result of delays in decision to seek care, delays in reaching care centers, and delays in receiving care. Consequently, Maternal Waiting Homes (MWH) has been identified as a tool for reducing maternal and perinatal mortality. It is currently being used in Zambia but there is limited data on the operation and its impact. The evidence on MWH for this paper was based on the aggregate review of numerous studies. These identified MWH as an effective, equitable and cost-effective intervention but without concrete evidence of its acceptance. The effectiveness is highly dependent on its strength to promptly identify and refer high-risk pregnant women to skilled obstetric care. In addition, other non-medical interventions including strengthening family planning program at the grassroots level and integration of community mobilization in the MWH program with service quality improvement were recognized as successful. However, the utilization of MWHS has been low in most low- and middle-income countries (LMICs). This paper also describes potential implications of the MWHs on the political, economic, and social and development sectors of the country. In all, it recommends the upgrading and strengthening of MWH and its health system in Zambia, alongside integration of other suggested interventions.
VL  - 6
IS  - 1
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Author Information

Israel Oluwaseyidayo Idris

Department of Disease Control, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine (LSHTM), London, United Kingdom; Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine (LSHTM), London, United Kingdom; Department of Public Administration, Kharkiv National University of Economics, Kharkiv, Ukraine; Doctors with Africa – Cuamm, Rumbek, South-Sudan
Damilola Araoye

Department of Public Health, University College Hospital, Ibadan, Nigeria
Obasi David Chijioke

Department of Global Health and Development, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine (LSHTM), London, United Kingdom; London School of Economics and Political Science (LSE), London, United Kingdom
Nataliia Gavkalova

Department of Public Administration, Kharkiv National University of Economics, Kharkiv, Ukraine

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APA Style

Israel Oluwaseyidayo Idris, Damilola Araoye, Obasi David Chijioke, Nataliia Gavkalova. (2020). A Policy Discussion on Maternity Waiting Home in Zambia to Achieve Its Vision 2030 on Maternal and Perinatal Mortality. Journal of Family Medicine and Health Care, 6(1), 1-7. https://doi.org/10.11648/j.jfmhc.20200601.11

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ACS Style

Israel Oluwaseyidayo Idris; Damilola Araoye; Obasi David Chijioke; Nataliia Gavkalova. A Policy Discussion on Maternity Waiting Home in Zambia to Achieve Its Vision 2030 on Maternal and Perinatal Mortality. J. Fam. Med. Health Care 2020, 6(1), 1-7. doi: 10.11648/j.jfmhc.20200601.11

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AMA Style

Israel Oluwaseyidayo Idris, Damilola Araoye, Obasi David Chijioke, Nataliia Gavkalova. A Policy Discussion on Maternity Waiting Home in Zambia to Achieve Its Vision 2030 on Maternal and Perinatal Mortality. J Fam Med Health Care. 2020;6(1):1-7. doi: 10.11648/j.jfmhc.20200601.11

Copy | Download

@article{10.11648/j.jfmhc.20200601.11,
  author = {Israel Oluwaseyidayo Idris and Damilola Araoye and Obasi David Chijioke and Nataliia Gavkalova},
  title = {A Policy Discussion on Maternity Waiting Home in Zambia to Achieve Its Vision 2030 on Maternal and Perinatal Mortality},
  journal = {Journal of Family Medicine and Health Care},
  volume = {6},
  number = {1},
  pages = {1-7},
  doi = {10.11648/j.jfmhc.20200601.11},
  url = {https://doi.org/10.11648/j.jfmhc.20200601.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jfmhc.20200601.11},
  abstract = {Maternal and child health, with a focus on perinatal health, remains an area of focus for developing countries. Zambia has identified maternal and child health as an area of concentration in its 2030 vision agenda, with the goal of achieving less than 180 maternal deaths per 100, 000 live births by 2030. So far, interventions executed by the government include improving birthing space and providing higher quality services such as emergency obstetric care, post-abortion care and encouraging community level advocacy by safe motherhood action groups. However, the high perinatal and maternal mortality rate in Zambia is associated with the low accessibility to quality obstetric care as a result of delays in decision to seek care, delays in reaching care centers, and delays in receiving care. Consequently, Maternal Waiting Homes (MWH) has been identified as a tool for reducing maternal and perinatal mortality. It is currently being used in Zambia but there is limited data on the operation and its impact. The evidence on MWH for this paper was based on the aggregate review of numerous studies. These identified MWH as an effective, equitable and cost-effective intervention but without concrete evidence of its acceptance. The effectiveness is highly dependent on its strength to promptly identify and refer high-risk pregnant women to skilled obstetric care. In addition, other non-medical interventions including strengthening family planning program at the grassroots level and integration of community mobilization in the MWH program with service quality improvement were recognized as successful. However, the utilization of MWHS has been low in most low- and middle-income countries (LMICs). This paper also describes potential implications of the MWHs on the political, economic, and social and development sectors of the country. In all, it recommends the upgrading and strengthening of MWH and its health system in Zambia, alongside integration of other suggested interventions.},
 year = {2020}
}

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TY  - JOUR
T1  - A Policy Discussion on Maternity Waiting Home in Zambia to Achieve Its Vision 2030 on Maternal and Perinatal Mortality
AU  - Israel Oluwaseyidayo Idris
AU  - Damilola Araoye
AU  - Obasi David Chijioke
AU  - Nataliia Gavkalova
Y1  - 2020/01/31
PY  - 2020
N1  - https://doi.org/10.11648/j.jfmhc.20200601.11
DO  - 10.11648/j.jfmhc.20200601.11
T2  - Journal of Family Medicine and Health Care
JF  - Journal of Family Medicine and Health Care
JO  - Journal of Family Medicine and Health Care
SP  - 1
EP  - 7
PB  - Science Publishing Group
SN  - 2469-8342
UR  - https://doi.org/10.11648/j.jfmhc.20200601.11
AB  - Maternal and child health, with a focus on perinatal health, remains an area of focus for developing countries. Zambia has identified maternal and child health as an area of concentration in its 2030 vision agenda, with the goal of achieving less than 180 maternal deaths per 100, 000 live births by 2030. So far, interventions executed by the government include improving birthing space and providing higher quality services such as emergency obstetric care, post-abortion care and encouraging community level advocacy by safe motherhood action groups. However, the high perinatal and maternal mortality rate in Zambia is associated with the low accessibility to quality obstetric care as a result of delays in decision to seek care, delays in reaching care centers, and delays in receiving care. Consequently, Maternal Waiting Homes (MWH) has been identified as a tool for reducing maternal and perinatal mortality. It is currently being used in Zambia but there is limited data on the operation and its impact. The evidence on MWH for this paper was based on the aggregate review of numerous studies. These identified MWH as an effective, equitable and cost-effective intervention but without concrete evidence of its acceptance. The effectiveness is highly dependent on its strength to promptly identify and refer high-risk pregnant women to skilled obstetric care. In addition, other non-medical interventions including strengthening family planning program at the grassroots level and integration of community mobilization in the MWH program with service quality improvement were recognized as successful. However, the utilization of MWHS has been low in most low- and middle-income countries (LMICs). This paper also describes potential implications of the MWHs on the political, economic, and social and development sectors of the country. In all, it recommends the upgrading and strengthening of MWH and its health system in Zambia, alongside integration of other suggested interventions.
VL  - 6
IS  - 1
ER  -

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