Maternity waiting homes in times of crisis: Can current models meet women's needs?

Women and Birth : Journal of the Australian College of Midwives
Kayli Wild, Jaameeta Kurji

Abstract

Maternity waiting homes (MWHs) located close to birthing facilities are a conditional recommendation by the World Health Organisation, based on very low-quality evidence that they contribute to improvements in maternal or perinatal health outcomes. In addition, several studies suggest that more vulnerable women are less likely to use them. Yet significant investments continue to be made in building and running MWHs within conflict-affected and under-resourced health systems. We critically examine the literature to shed light on the challenges and opportunities provided by MWHs during health emergencies and in conflict situations. MWHs are difficult to utilise during crises because they require women to be away from home, are often designed as dormitories, can lack security and be over-crowded. Some MWHs have been adapted during situations of political conflict to incorporate birthing and broader reproductive health care, thereby improving the availability of care away from over-burdened health facilities. How MWHs are adapted during times of crisis may provide insights into what systems of care are more appropriate in meeting women's needs more broadly. The current global pandemic is an important time to reflect on whether MWHs...Continue Reading

References

Dec 6, 1997·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·J B WilsonE K Tinkorang
Nov 30, 1999·Acta Obstetricia Et Gynecologica Scandinavica·O A van den HeuvelM L Bots
Nov 7, 2009·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Lazarus MrambaDavies Kimanga
Mar 17, 2012·Bulletin of the World Health Organization·Kayli WildNelson Martins
Sep 20, 2016·Lancet·Marjorie KoblinskyAna Langer
Oct 5, 2018·Tropical Medicine & International Health : TM & IH·Tienke VermeidenThomas van den Akker
Jan 11, 2019·Malawi Medical Journal : the Journal of Medical Association of Malawi·Leticia Chimwemwe Suwedi-Kapesa, Alinane Linda Nyondo-Mipando
Mar 30, 2019·The International Journal of Health Planning and Management·Biniam Getachew, Tippawan Liabsuetrakul
Mar 11, 2020·Lancet·Clare WenhamUNKNOWN Gender and COVID-19 Working Group

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