Utilization of Maternity Waiting Home to Improve Access to Health Service: A Systematic Review

Nuraina, Esitra Herfanda, Fitria Siswi Utami


Universitas Aisyiyah Yogyakarta



Background: Maternity waiting home (MWH) is a home built in the compound or near to health facilities that provides standard medical and emergency obstetric care services. MWH is considered to be a key strategy to “bridge the geographical gap” in obstetric care between rural areas with poor access to equipped facilities, and urban areas where the services are available. This study aimed to systematically review the utilization of MWH to improve access to health service.

Subjects and Method: A systematic review was conducted by searching articles from PubMed, Proquest, and Onesearch databases. The study was carried out in eight stages, including (1) Identification of obstetric problem; (2) Determining priority problem and study question; (3) Determining framework; (4) Literature searching; (5) Article selection; (6) Critical appraisal; (7) Data extraction; and (8) Maping.

Results: Three articles were carried out with thematic analysis to identify the main points. Factors associated with the utilization of MWH included (1) Distance; (2) Complication during pregnancy; and (3) Income. Barrier in the utilization of MWH were (1) Inadequate number of room and postpartum bed; (2) Lack of water and sanitation facilities; and (3) Unavailable electricity. Partnership between health workers in rural facilities, stronger role of stakeholders, and a broader health system, were expected to increase the utilization of MWH.

Conclusion: The utilization of MWH is associated with factors, barriers, and expectation in the society. Partnership between health workers in rural areas, stronger role of stakeholders, and a broader health system, are recommended strategies to increase the utilization of MWH.

Keywords: maternity waiting home, utilization

Correspondence: Nuraina. Universitas Aisyiyah Yogyakarta. Jl. Ringroad Barat No.63, Mlangi, Nogotirto, Gamping, Sleman, Yogyakarta. Mobile: (0274) 4469199. Fax. (0274) 4469204. Email: nurainaramli28@gmail.com.

DOI: https://doi.org/10.26911/the6thicph.03.80

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