The tyranny of distance

maternity waiting homes and access to birthing facilities in rural Timor-Leste

Kayli Janine Wild, Lesley Barclay, Paul Kelly, Nelson Martins

    Research output: Contribution to journalArticleResearchpeer-review

    Abstract

    Objective: To examine the impact of maternity waiting homes on the use of facility-based birthing services for women in two remote districts of Timor-Leste.

    Methods: A before-and-after study design was used to compare the number of facility-based births in women who lived at different distances (0-5, 6-25, 26-50 and > 50km) from the health centre before and after implementation of maternity waiting homes. Routine data were collected from health centre records at the end of 2007; they included 249 births in Same, Manufahi district, and 1986 births in Lospalos, Lautem district. Population data were used to estimate the percentage of women in each distance category who were accessing facility-based care.

    Findings: Most facility-based births in Same (80%) and Lospalos (62%) were among women who lived within 5km of the health centre. There was no significant increase in the number of facility-based births among women in more remote areas following implementation of the maternity waiting homes. The percentage of births in the population that occurred in a health facility was low for both Manufahi district (9%) and Lautem district (17%), and use decreased markedly as distance between a woman's residence and the health facilities increased.

    Conclusion: The maternity waiting homes in Timor-Leste did not improve access to facility-based delivery for women in remote areas. The methods for distance analysis presented in this paper provide a framework that could be used by other countries seeking to evaluate maternity waiting homes.
    Original languageEnglish
    Pages (from-to)97-103
    Number of pages7
    JournalBulletin of the World Health Organization
    Issue number90
    DOIs
    Publication statusPublished - 2012

    Fingerprint

    Parturition
    Health Facilities
    Health
    Architectural Accessibility
    Women's Health
    Population
    Timor-Leste

    Cite this

    Wild, Kayli Janine ; Barclay, Lesley ; Kelly, Paul ; Martins, Nelson. / The tyranny of distance : maternity waiting homes and access to birthing facilities in rural Timor-Leste. In: Bulletin of the World Health Organization. 2012 ; No. 90. pp. 97-103.
    @article{dd0c02b6a1a943ebb318327b07325c26,
    title = "The tyranny of distance: maternity waiting homes and access to birthing facilities in rural Timor-Leste",
    abstract = "Objective: To examine the impact of maternity waiting homes on the use of facility-based birthing services for women in two remote districts of Timor-Leste. Methods: A before-and-after study design was used to compare the number of facility-based births in women who lived at different distances (0-5, 6-25, 26-50 and > 50km) from the health centre before and after implementation of maternity waiting homes. Routine data were collected from health centre records at the end of 2007; they included 249 births in Same, Manufahi district, and 1986 births in Lospalos, Lautem district. Population data were used to estimate the percentage of women in each distance category who were accessing facility-based care. Findings: Most facility-based births in Same (80{\%}) and Lospalos (62{\%}) were among women who lived within 5km of the health centre. There was no significant increase in the number of facility-based births among women in more remote areas following implementation of the maternity waiting homes. The percentage of births in the population that occurred in a health facility was low for both Manufahi district (9{\%}) and Lautem district (17{\%}), and use decreased markedly as distance between a woman's residence and the health facilities increased. Conclusion: The maternity waiting homes in Timor-Leste did not improve access to facility-based delivery for women in remote areas. The methods for distance analysis presented in this paper provide a framework that could be used by other countries seeking to evaluate maternity waiting homes.",
    keywords = "health care, rural area, womens health, article, female, health care access, health care availability, health care delivery, health care facility, human, maternal care, residential home, rural population, Timor-Leste, Chi-Square Distribution, Female, Geography, Health Promotion, Health Services Accessibility, Health Services Needs and Demand, Hospitals, Maternity, Humans, Pregnancy, Rural Population, Time Factors, Waiting Lists, Women's Health, World Health Organization, Lesser Sunda Islands, Manufahi, Sunda Isles, Timor",
    author = "Wild, {Kayli Janine} and Lesley Barclay and Paul Kelly and Nelson Martins",
    year = "2012",
    doi = "10.2471/BLT.11.088955",
    language = "English",
    pages = "97--103",
    journal = "Bulletin of the World Health Organization",
    issn = "0042-9686",
    publisher = "World Health Organization",
    number = "90",

    }

    The tyranny of distance : maternity waiting homes and access to birthing facilities in rural Timor-Leste. / Wild, Kayli Janine; Barclay, Lesley; Kelly, Paul; Martins, Nelson.

    In: Bulletin of the World Health Organization, No. 90, 2012, p. 97-103.

    Research output: Contribution to journalArticleResearchpeer-review

    TY - JOUR

    T1 - The tyranny of distance

    T2 - maternity waiting homes and access to birthing facilities in rural Timor-Leste

    AU - Wild, Kayli Janine

    AU - Barclay, Lesley

    AU - Kelly, Paul

    AU - Martins, Nelson

    PY - 2012

    Y1 - 2012

    N2 - Objective: To examine the impact of maternity waiting homes on the use of facility-based birthing services for women in two remote districts of Timor-Leste. Methods: A before-and-after study design was used to compare the number of facility-based births in women who lived at different distances (0-5, 6-25, 26-50 and > 50km) from the health centre before and after implementation of maternity waiting homes. Routine data were collected from health centre records at the end of 2007; they included 249 births in Same, Manufahi district, and 1986 births in Lospalos, Lautem district. Population data were used to estimate the percentage of women in each distance category who were accessing facility-based care. Findings: Most facility-based births in Same (80%) and Lospalos (62%) were among women who lived within 5km of the health centre. There was no significant increase in the number of facility-based births among women in more remote areas following implementation of the maternity waiting homes. The percentage of births in the population that occurred in a health facility was low for both Manufahi district (9%) and Lautem district (17%), and use decreased markedly as distance between a woman's residence and the health facilities increased. Conclusion: The maternity waiting homes in Timor-Leste did not improve access to facility-based delivery for women in remote areas. The methods for distance analysis presented in this paper provide a framework that could be used by other countries seeking to evaluate maternity waiting homes.

    AB - Objective: To examine the impact of maternity waiting homes on the use of facility-based birthing services for women in two remote districts of Timor-Leste. Methods: A before-and-after study design was used to compare the number of facility-based births in women who lived at different distances (0-5, 6-25, 26-50 and > 50km) from the health centre before and after implementation of maternity waiting homes. Routine data were collected from health centre records at the end of 2007; they included 249 births in Same, Manufahi district, and 1986 births in Lospalos, Lautem district. Population data were used to estimate the percentage of women in each distance category who were accessing facility-based care. Findings: Most facility-based births in Same (80%) and Lospalos (62%) were among women who lived within 5km of the health centre. There was no significant increase in the number of facility-based births among women in more remote areas following implementation of the maternity waiting homes. The percentage of births in the population that occurred in a health facility was low for both Manufahi district (9%) and Lautem district (17%), and use decreased markedly as distance between a woman's residence and the health facilities increased. Conclusion: The maternity waiting homes in Timor-Leste did not improve access to facility-based delivery for women in remote areas. The methods for distance analysis presented in this paper provide a framework that could be used by other countries seeking to evaluate maternity waiting homes.

    KW - health care

    KW - rural area

    KW - womens health

    KW - article

    KW - female

    KW - health care access

    KW - health care availability

    KW - health care delivery

    KW - health care facility

    KW - human

    KW - maternal care

    KW - residential home

    KW - rural population

    KW - Timor-Leste

    KW - Chi-Square Distribution

    KW - Female

    KW - Geography

    KW - Health Promotion

    KW - Health Services Accessibility

    KW - Health Services Needs and Demand

    KW - Hospitals, Maternity

    KW - Humans

    KW - Pregnancy

    KW - Rural Population

    KW - Time Factors

    KW - Waiting Lists

    KW - Women's Health

    KW - World Health Organization

    KW - Lesser Sunda Islands

    KW - Manufahi

    KW - Sunda Isles

    KW - Timor

    UR - http://www.scopus.com/inward/record.url?scp=84856596172&partnerID=8YFLogxK

    U2 - 10.2471/BLT.11.088955

    DO - 10.2471/BLT.11.088955

    M3 - Article

    SP - 97

    EP - 103

    JO - Bulletin of the World Health Organization

    JF - Bulletin of the World Health Organization

    SN - 0042-9686

    IS - 90

    ER -