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The influence of quality maternity waiting homes on utilization of facilities for delivery in rural Zambia

机译：优质产妇候诊所对赞比亚农村分娩设施利用的影响

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Background Residential accommodation for expectant mothers adjacent to health facilities, known as maternity waiting homes (MWH), is an intervention designed to improve access to skilled deliveries in low-income countries like Zambia where the maternal mortality ratio is estimated at 398 deaths per 100,000 live births. Our study aimed to assess the relationship between MWH quality and the likelihood of facility delivery in Kalomo and Choma Districts in Southern Province, Zambia. Methods We systematically assessed and inventoried the functional capacity of all existing MWH using a quantitative facility survey and photographs of the structures. We calculated a composite score and used multivariate regression to quantify MWH quality and its association with the likelihood of facility delivery using household survey data collected on delivery location in Kalomo and Choma Districts from 2011–2013. Results MWH were generally in poor condition and composite scores varied widely, with a median score of 28.0 and ranging from 12 to 66 out of a possible 75 points. Of the 17,200 total deliveries captured from 2011–2013 in 40 study catchment area facilities, a higher proportion occurred in facilities where there was either a MWH or the health facility provided space for pregnant waiting mothers compared to those with no accommodations (60.7% versus 55.9%, p Conclusions Improving both the availability and the quality of MWH represents a potentially useful strategy to increasing facility delivery in rural Zambia. Trial registration The Zambia Chlorhexidine Application Trial is registered at Clinical Trials.gov (identifier: NCT01241318)
机译：背景技术与卫生设施相邻的孕妇的住房，称为产妇候诊室（MWH），是一项旨在改善赞比亚等低收入国家获得熟练分娩服务的干预措施，据估计，孕产妇死亡率为每10万人中398人死亡出生。我们的研究旨在评估赞比亚南部省Kalomo和Choma地区MWH质量与设施交付可能性之间的关系。方法我们使用定量设施调查和结构照片系统地评估和清点了所有现有MWH的功能能力。我们计算了一个综合评分，并使用多元回归来量化家庭生活质量，并使用2011-2013年在卡洛莫和乔马地区的送货地点收集的家庭调查数据对设施交付的可能性进行了评估。结果MWH通常情况较差，综合得分差异很大，中位得分为28.0，满分为75，满分为12至66。在2011年至2013年期间，在40个研究集水区设施中捕获的17200例分娩中，有MWH或卫生设施为等待怀孕的母亲提供空间的设施中所占的比例要比没有住宿的设施高（60.7％对55.9％） ％，p结论改善MWH的可用性和质量是增加赞比亚农村地区设施交付量的潜在有用策略试行注册赞比亚洗必太应用试验已在Clinical Trials.gov上进行了注册（标识：NCT01241318）。

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