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Stakeholders’ perspectives on the acceptability and feasibility of maternity waiting homes: a qualitative synthesis

BACKGROUND: Maternity waiting homes (MHWs) are recommended to help bridge the geographical gap to accessing maternity services. This study aimed to provide an analysis of stakeholders’ perspectives (women, families, communities and health workers) on the acceptability and feasibility of MWHs. METHOD...

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Autores principales: van Braam, Eva Julia, McRae, Daphne N., Portela, Anayda G., Stekelenburg, Jelle, Penn-Kekana, Loveday
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10324180/
https://www.ncbi.nlm.nih.gov/pubmed/37407983
http://dx.doi.org/10.1186/s12978-023-01615-x
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author van Braam, Eva Julia
McRae, Daphne N.
Portela, Anayda G.
Stekelenburg, Jelle
Penn-Kekana, Loveday
author_facet van Braam, Eva Julia
McRae, Daphne N.
Portela, Anayda G.
Stekelenburg, Jelle
Penn-Kekana, Loveday
author_sort van Braam, Eva Julia
collection PubMed
description BACKGROUND: Maternity waiting homes (MHWs) are recommended to help bridge the geographical gap to accessing maternity services. This study aimed to provide an analysis of stakeholders’ perspectives (women, families, communities and health workers) on the acceptability and feasibility of MWHs. METHODS: A qualitative evidence synthesis was conducted. Studies that were published between January 1990 and July 2020, containing qualitative data on the perspectives of the stakeholder groups were included. A combination of inductive and deductive coding and thematic synthesis was used to capture the main perspectives in a thematic framework. RESULTS: Out of 4,532 papers that were found in the initial search, a total of 38 studies were included for the thematic analysis. Six themes emerged: (1) individual factors, such as perceived benefits, awareness and knowledge of the MWH; (2) interpersonal factors and domestic responsibilities, such as household and childcare responsibilities, decision-making processes and social support; (3) MWH characteristics, such as basic services and food provision, state of MWH infrastructure; (4) financial and geographical accessibility, such as transport availability, costs for MWH attendance and loss of income opportunity; (5) perceived quality of care in the MWH and the adjacent health facility, including regular check-ups by health workers and respectful care; and (6) Organization and advocacy, for example funding, community engagement, governmental involvement. The decision-making process of women and their families for using an MWH involves balancing out the gains and losses, associated with all six themes. CONCLUSION: This systematic synthesis of qualitative literature provides in-depth insights of interrelating factors that influence acceptability and feasibility of MWHs according to different stakeholders. The findings highlight the potential of MWHs as important links in the maternal and neonatal health (MNH) care delivery system. The complexity and scope of these determinants of utilization underlines the need for MWH implementation strategy to be guided by context. Better documentation of MWH implementation, is needed to understand which type of MWH is most effective in which setting, and to ensure that those who most need the MWH will use it and receive quality services. These results can be of interest for stakeholders, implementers of health interventions, and governmental parties that are responsible for MNH policy development to implement acceptable and feasible MWHs that provide the greatest benefits for its users. Trial registration Systematic review registration number: PROSPERO 2020, CRD42020192219. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12978-023-01615-x.
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spelling pubmed-103241802023-07-07 Stakeholders’ perspectives on the acceptability and feasibility of maternity waiting homes: a qualitative synthesis van Braam, Eva Julia McRae, Daphne N. Portela, Anayda G. Stekelenburg, Jelle Penn-Kekana, Loveday Reprod Health Review BACKGROUND: Maternity waiting homes (MHWs) are recommended to help bridge the geographical gap to accessing maternity services. This study aimed to provide an analysis of stakeholders’ perspectives (women, families, communities and health workers) on the acceptability and feasibility of MWHs. METHODS: A qualitative evidence synthesis was conducted. Studies that were published between January 1990 and July 2020, containing qualitative data on the perspectives of the stakeholder groups were included. A combination of inductive and deductive coding and thematic synthesis was used to capture the main perspectives in a thematic framework. RESULTS: Out of 4,532 papers that were found in the initial search, a total of 38 studies were included for the thematic analysis. Six themes emerged: (1) individual factors, such as perceived benefits, awareness and knowledge of the MWH; (2) interpersonal factors and domestic responsibilities, such as household and childcare responsibilities, decision-making processes and social support; (3) MWH characteristics, such as basic services and food provision, state of MWH infrastructure; (4) financial and geographical accessibility, such as transport availability, costs for MWH attendance and loss of income opportunity; (5) perceived quality of care in the MWH and the adjacent health facility, including regular check-ups by health workers and respectful care; and (6) Organization and advocacy, for example funding, community engagement, governmental involvement. The decision-making process of women and their families for using an MWH involves balancing out the gains and losses, associated with all six themes. CONCLUSION: This systematic synthesis of qualitative literature provides in-depth insights of interrelating factors that influence acceptability and feasibility of MWHs according to different stakeholders. The findings highlight the potential of MWHs as important links in the maternal and neonatal health (MNH) care delivery system. The complexity and scope of these determinants of utilization underlines the need for MWH implementation strategy to be guided by context. Better documentation of MWH implementation, is needed to understand which type of MWH is most effective in which setting, and to ensure that those who most need the MWH will use it and receive quality services. These results can be of interest for stakeholders, implementers of health interventions, and governmental parties that are responsible for MNH policy development to implement acceptable and feasible MWHs that provide the greatest benefits for its users. Trial registration Systematic review registration number: PROSPERO 2020, CRD42020192219. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12978-023-01615-x. BioMed Central 2023-07-05 /pmc/articles/PMC10324180/ /pubmed/37407983 http://dx.doi.org/10.1186/s12978-023-01615-x Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Review
van Braam, Eva Julia
McRae, Daphne N.
Portela, Anayda G.
Stekelenburg, Jelle
Penn-Kekana, Loveday
Stakeholders’ perspectives on the acceptability and feasibility of maternity waiting homes: a qualitative synthesis
title Stakeholders’ perspectives on the acceptability and feasibility of maternity waiting homes: a qualitative synthesis
title_full Stakeholders’ perspectives on the acceptability and feasibility of maternity waiting homes: a qualitative synthesis
title_fullStr Stakeholders’ perspectives on the acceptability and feasibility of maternity waiting homes: a qualitative synthesis
title_full_unstemmed Stakeholders’ perspectives on the acceptability and feasibility of maternity waiting homes: a qualitative synthesis
title_short Stakeholders’ perspectives on the acceptability and feasibility of maternity waiting homes: a qualitative synthesis
title_sort stakeholders’ perspectives on the acceptability and feasibility of maternity waiting homes: a qualitative synthesis
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10324180/
https://www.ncbi.nlm.nih.gov/pubmed/37407983
http://dx.doi.org/10.1186/s12978-023-01615-x
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