Community based maternal health fund: a case study from women's group initiative in Awbare woreda of Somali region of Ethiopia

Authors

  • Oladeji Olusola UNICEF Somali Field Office, Ethiopia
  • Oladeji Bibilola College of Medicine, University of Ibadan, Nigeria
  • Elmi Farah Abdifatah UNICEF Somali Field Office, Ethiopia
  • Mahdi Elmi Ayan Transform: Health in Developing Regions. Intra Health, Somali Region, Ethiopia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20220723

Keywords:

Community based, Maternal and health fund, Women’s group

Abstract

Access to maternal and new born health services in most poor countries has been impeded by financial barriers and there has been increased attention for the mobilization of local resources to improve access to services. This study described the establishment, management and utilization of community based maternal health fund by indigenous women’s groups in a rural area of Somali region. The community-based fund was initiated and established by the women’s group as a result of financial constraints faced by pregnant women in accessing health services in the study area. The fund relied exclusively on the group’s monthly contribution and contribution by other members of the communities. The program is unique with the contributors not being beneficiaries of the fund and the management and operation of the fund was at group’s discretion. 754 pregnant women  have benefitted  from the fund since it was established  in  2016 (403 supported during referral to the hospital; 284 provided  with  transport fare and  basic household commodities after delivery and  67 hosted  at the  maternal waiting homes and provided with  food  and transport fare).The study demonstrates how community members are able to mobilize local resources to develop community solutions to identified local problems through active participation and commitment. Scaling up such innovative community initiated and managed funds that do not depend on external funding or beneficiary contributions has great potential to improve access to services and improve maternal health outcomes.

Author Biography

Oladeji Olusola, UNICEF Somali Field Office, Ethiopia

Dr Olusola Oladeji (MBBS, MPH, PhD, FWACP) is a public health physician currently works as Health and Nutrition specialist with UNICEF Ethiopia, Somali Field office. His research interest is in health system strengthening, primary health care and strategic integration of humanitarian and development programming

References

Wilson A, Hillman S, Rosato M. A systematic review and thematic synthesis of qualitative studies on maternal emergency transport in low- and middle-income countries. Int J Gynaecol Obstet. 2013;122(3):192-201.

Chiwuzie J, Okojie O, Okolocha C, Omorogbe S, Oronsaye A, W Akpala, B Ande, B Onoguwe, E Oikeh. Emergency loan funds to improve access to obstetric care in Ekpoma, Nigeria. The Benin PMM Team. Int J Gynaecol Obstet. 1997 ;59 Suppl 2: S231-6.

Trends in Maternal Mortality 2000 to 2017. Estimates by WHO, UNICEF, UNFPA, World Bank Group, The United Nations Population Division. World Health Organization; 2019. Accessed October 3, 2021 https://www.unfpa.org/sites/default/files/pubpdf/Maternal_mortality_report.pdf. Accessed on 12 February, 2020.

Thaddeus S, Maine D. Too far to walk maternal mortality in context. Soc Sci Med. 1994;38(8):1091-110.

Essien E, Ifenne D, Sabitu K, Musa AM, Alti-Mu’azu M, Adidu V et al. Community loan funds and transport services for obstetric emergencies in northern Nigeria. Int J Gynaecol Obstet. 1997;59:S237-44.

Rath AD, Basnett I, Cole M, Subedi HN, Thomas D, Murray SF. Improving Emergency Obstetric Care in a Context of Very High Maternal Mortality: The Nepal Safer Motherhood Project 1997-2004 Reproductive Health Matters. 2007;15(30):72-80.

Macintyre K, Hotchkiss D. Referral revisited: community financing schemes and emergency transport in rural Africa. Social Sci Med. 1999;49:1473-87.

MacDonald T, Jackson S, Charles MC. The fourth delay and community-driven solutions to reduce maternal mortality in rural Haiti: a community-based action research study. BMC Pregnancy Childbirth. 2018;18(1):254.

Felizarda A, Helena B, Mai-Lei Woo K. Implementation of a Community Transport Strategy to Reduce Delays in Seeking Obstetric Care in Rural Mozambique Glob Health Sci Pract. 2021;9(1):S122-36.

Shehu D, Ikeh AT, Kuna MJ. Mobilizing transport for obstetric emergencies in northwestern Nigeria. Int J Gynecol Obstet. 1997;59(2):S173-80.

Ensor T, Green C, Quigley P, Badru AR, Kaluba D, Kureya T. Mobilizing communities to improve maternal health: results of an intervention in rural Zambia. Bull World Health Organ. 2014; 92(1):51-9.

Fofana P, Samai O, Kebbie A, Sengeh P. Promoting the use of obstetric services through loan funds, Bo Sierra Leone. Int J Gynaecol Obstet. 1997;59:S225-30.

WHO. Maternity waiting homes: A review of experiences. Geneva: World Health Organization. Safe Motherhood Unit, Division of Reproductive Health; 1996. https://www.who.int/reproductivehealth/publications/maternal_perinatal_health/MSM_96_21/en/. Accessed October 4, 2021.

Gaym A, Pearson L, Soe K. Maternity waiting homes in Ethiopia--three decades experience. Ethiopian Med J. 2012; 50(3)109-19.

Kelly J, Kohls E, Poovan P. The role of a maternity waiting area (MWA) in reducing maternal mortality and stillbirths in high-risk women in rural Ethiopia. Int J Obstetr Gynaecol. 2010;117:1377-83.

Maternity waiting facilities for improving maternal and neonatal outcome in low-resource countries. Cochrane Database of Systematic Reviews 2012. Available at: https://www.cochrane.org/CD006759/PREG_maternity-waiting-facilities-for-improving-maternal-and-neonatal-outcomes-in-low-resource-countries. Accessed October 4, 2021.

Mramba L, Nassir F, Ondieki C, Kimanga D. Reasons for low utilization of a maternity Waiting home in rural Kenya. Int J Gynecol Obstetr. 2010;108:152-3.

UNFPA Supported Maternity Waiting Homes in Ethiopia: Good Practices and Lessons Learned. 2018. Available at: https://ethiopia.unfpa.org/en/publications/unfpa-supported-maternity-waiting-homes-ethiopia-good-practices-and-lessons-learned. Accessed October 4, 2021.

Penn-Kekana L, Pereira S, Hussein J. Understanding the implementation of maternity waiting homes in low- and middle-income countries: a qualitative thematic synthesis. BMC Pregnancy Childbirth. 2017;17:269.

Oladeji O, Oladeji B, Chamla D, Robins A, Belalahy V. Effect of Gender on the Utilization of Maternal and Child Health Services among Pastoralist Caregivers in Somali Region of Ethiopia. ACRI. 2021;21(3):73-81.

Jackson R, Tesfaye F, Gebrehiwot T, Godefay H. Factors that hinder or enable maternal health strategies to reduce delays in rural and pastoralist areas in Ethiopia. Trop Med Int Health. 2017;22(2):148-60.

Morrison J, Thapa R, Sen A. Utilization and management of maternal and child health funds in rural Nepal. Community Dev J. 2010;45(1):75-89.

Morrison J, Tamang S, Mesko N. Women’s health groups to improve perinatal care in rural Nepal. BMC Pregnancy Childbirth. 2005;5:6.

Wilson A, Hillman S, Rosato M. A systematic review and thematic synthesis of qualitative studies on maternal emergency transport in low- and middle-income countries. Int J Gynaecol Obstet. 2013;122(3):192-201.

Nwolise CH, Hussein J, Kanguru L, Bell J, Patel Pl. The effectiveness of community-based loan funds for transport during obstetric emergencies in developing countries: a systematic review. Health Policy Planning. 2014;1-10.

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Published

2022-02-28

How to Cite

Olusola, O., Bibilola, O., Abdifatah, E. F., & Ayan, M. E. (2022). Community based maternal health fund: a case study from women’s group initiative in Awbare woreda of Somali region of Ethiopia. International Journal Of Community Medicine And Public Health, 9(3), 1521–1525. https://doi.org/10.18203/2394-6040.ijcmph20220723

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Section

Case Reports