Maternity waiting homes as component of birth preparedness and complication readiness for rural women in hard-to-reach areas in Ethiopia

Maternity waiting homes as component of birth preparedness and complication readiness for rural women in hard-to-reach areas in Ethiopia | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Help Center Sign In Submit a Preprint Cite Share Download PDF Research Maternity waiting homes as component of birth preparedness and complication readiness for rural women in hard-to-reach areas in Ethiopia Mekdes Kondale Gurara, Jean-Pierre Van Geertruyden, Befikadu Tariku Gutema, and 2 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-79351/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 02 Feb, 2021 Read the published version in Reproductive Health → Version 1 posted 10 You are reading this latest preprint version Abstract Background : In rural areas of Ethiopia, 57% of births occur at home without the assistance of skilled birth attendants, geographical inaccessibility being one of the main factors that hinder skilled birth attendance. Establishment of maternity waiting homes (MWH) is part of a strategy to improve access to skilled care by bringing pregnant women physically close to health facilities. This study assessed barriers to MWHs in Arba Minch Zuria District, Southern Ethiopia. Methods : A community-based cross-sectional study was undertaken from February 01 to 30, 2019. Study participants were selected by computer-generated random numbers from a list of women who gave birth from 2017 to 2018 in Arba Minch Health and Demographic Surveillance System site. Data were collected using a pre-tested and interviewer-administered questionnaire. STATA statistical software version-15 was used for data analysis, and variables with p-values ≤0.25 in bivariate analysis were considered for multivariable logistic regression analysis. Level of statistical significance was declared at a -value <0.05. Qualitative data were analyzed manually based on thematic areas. Results : MWH utilization was found to be 8.4%. Wealth index (lowest wealth quintile aOR 7.3; 95% CI 1.2, 42), decisions made jointly with male partners (husbands) for obstetric emergencies (aOR 3.6; 95% CI 1.0, 12), birth preparedness plan practice (aOR 6.5; 95% CI 2.3, 18.2), complications in previous childbirth (aOR 3; 95% 1.0, 9), history of previous institutional childbirth (aOR 12; 95% CI 3.8, 40), residence in areas within two hours walking distance to the nearest health facility (aOR 3.3; 95% CI: 1.4, 7.7), and ease of access to transport in obstetric emergencies (aOR 8.8; 95% CI: 3.9, 19) were factors that showed significant associations with MWH utilization. Conclusions : A low proportion of women has ever used MWHs in the study area. To increase MWH utilization, promoting birth preparedness practices, incorporating MWH as part of a personalized birth plan, improving access to health institutions for women living far away and upgrading existing MWHs are highly recommended. Sexual & Reproductive Medicine Maternal & Fetal Medicine maternity waiting home Ethiopia birth preparedness plan access logistic barriers low-income pregnancy maternal health. Figures Figure 1 Plain English Summary One of the ways to reduce maternal and neonatal deaths is to ensure that there is a skilled birth attendant (SBA) at every child-birth. However, in rural Ethiopia, more than half of all births occur at home without the help of SBAs. In remote and hard to areas, geographical and logistical barriers are among the main factors hindering skilled birth attendance. Maternity waiting homes (MWH) have been implemented in rural districts of Ethiopia with the aim to address these deterrents. The purpose of this study was to assess the barriers to MWHs use in the rural district of southern Ethiopia. Face-to-face interviews were conducted among 807 women who gave birth two years before the study period. A semi-structured questionnaire was used to collect quantitative data. We have also conducted focus group discussions to get an in-depth insight into the barriers to MWHs utilization. Overall, we found a low MWH utilization; women who prepared for birth and its possible complication had higher rates of MWH use. Moreover, women in the low wealth quintile, who made decisions jointly with their partners, had a history of previous institutional childbirth, residing within two hours walking distance, and had the ease of access to transport were more likely to use the existing MWH services. To increase MWH utilization with the aim to improve access to SBA, promoting birth preparedness practices, incorporating MWH as part of a personalized birth plan, promoting MWHs for women living far away, and upgrading existing MWHs are highly recommended. Background Maternal mortality continues to be a public health problem globally despite the existence of effective interventions to curb it. In 2017, an estimated 295,000 women died from preventable obstetric complications worldwide, 94% of the deaths occurring in low-income countries. The sub-Saharan region accounted for 66% of the deaths, with 59% occurring in Ethiopia alone, a share that was among the top ten by country in the world [ 1 ]. Moreover, for every woman who dies of pregnancy-related complications, about 20–30 others experience morbidity globally, and the burden is adjudged to be highest in low income-countries [ 1 , 2 ]. Ensuring skilled care at delivery, backed up by easy and available transport in case of emergency referral, is vital in reducing maternal morbidity and mortality [ 3 ]. Yet, the lack of timely planning for skilled care for normal births and inadequate preparations for obstetric complications is common in low-income countries, especially in Ethiopia where more than 50% of all births are not assisted by skilled providers [ 4 ]. It has been proven that making a birth plan during pregnancy reduces delay in obtaining care and promotes the timely use of emergency obstetric care [ 5 – 8 ]. The major components of birth preparedness include: selecting a desired place of birth, identifying a skilled provider and making the necessary arrangements to receive skilled care for normal births, and preparing for prompt action in the event of an obstetric emergency [ 5 ]. Yet, transportation issues, such as the poor condition of local roads and the distance of health institutions (HIs) from the homes of pregnant women, appear to be important factors influencing access to timely obstetric care and may lead to poor pregnancy outcomes [ 9 ]. To overcome the major logistic barriers in low-income countries, the establishment of maternity waiting homes (MWHs) at or around HIs has been widely adopted in addition to the common birth preparedness plans. MWHs are homes or shelters built nearby or in the premises of HIs, where pregnant mothers can lodge so that, when they go into labor, they can be quickly transferred to the facilities for safe delivery [ 5 , 10 – 13 ]. Regarding the contributions of the homes, several studies have reported that MWHs improve attendance to antenatal and postnatal care and reduce the odds of homebirth [ 12 , 14 – 17 ]. However, as MWHs have not been considered as one component of a personalized birth plan, there is still a very huge proportion of homebirths in rural and hard-to-reach areas [ 18 ]. Poor quality of care at both the MWHs and the adjacent facilities, structural barriers, costs associated with transportation, and psychosocial aspects of the care also result in limited use of the existing MWH services [ 19 – 24 ]. However, to the best of the researchers’ knowledge, there is no study in the literature which addresses the association between MWH use and birth preparedness plan in Ethiopia. This study, therefore, considers birth preparedness practice as a factor which may affect stay at MWHs. Although MWH intervention has been promoted in the study area to decrease delays in access to maternal care, previous studies have reported that only 9.7% of the women completed the continuum of care [ 25 ] and 18.5% of births were assisted by skilled birth attendants [ 22 , 26 ], with about 30% prevalence of birth preparedness plans [ 27 ]. Evaluation of contextually related barriers and constraints to access to MWH services using mixed methods design may improve maternal health. Therefore, this study aimed to explore the barriers to the use of MWHs, taking into account the social-cultural and economic factors of the participants, birth preparedness practices, and geographic specifics of the setting. Methods Study area and setting The study was conducted at Arba Minch Health Demographic Surveillance site (HDSS), which is located at Arba Minch Zuria District of Gamo Zone, Southern Ethiopia. The district has a total of 29 kebele (the smallest administrative structure in Ethiopia): 2 semi-urban and 27 rural. Out of the 29 kebele in the district, 9 (eight rural and one semi-urban) were selected randomly based on their geo-climatic zone (high-, mid- or lowland). The surveillance site uses an Open Data Kit (ODK) tablet computer-based application for data collection with updates conducted biannually. Since the HDSS establishment in 2009, there has been continuous recording of vital events and utilization of health services, including verbal autopsy for the cause of death. According to the 2007 Ethiopian national census, the estimated projected total population of the district for 2017 was 195,858, of which 97,953 were female. There are seven health centers in the surveillance site; six of the health centers are attached each with an MWH as a physically separate room. Study design and period A community-based cross-sectional study using mixed methods design was conducted between February 1 and 30, 2019. Population of the study The source population for this study comprised of all women in Arba Minch Zuria District who had given birth within two years to the beginning of the survey. The study population was women in the nine kebele of Arba Minch HDSS site who had given birth within two years to the survey. During data collection, women who were seriously ill or unable to give information were excluded from the study. Sample size determination and sampling technique A single population proportion [ 28 ] formula was used to estimate the minimum sample size required for the study, with an estimated level of MWH utilization of 31.5% adopted from a previous study [ 16 ], a maximum tolerable error of 5%, and a value of standard normal distribution (z-statistic) of 1.96 at 95% confidence level. The calculated sample size using the above assumptions was 663. In addition, the sample size for the barriers to MWH use (women’s occupation, household index, and travel time to obstetric care facility) [ 29 ] was computed yet the result yielded a smaller sample size than the level of utilization. An additional 10% from the estimated sample size was considered to compensate for potential non-responses and multiplying the design effect by two, and the final sample size for the study was 814. A sampling frame, a list of 2187 women who gave birth between 2017 and 2018, was obtained from the HDSS database and used to select the study unit. The required sample size was proportionally allocated to each kebele based on the total number of eligible women per kebele. The eligible women for interviews were then selected using computer generated random numbers. For qualitative data, purposive sampling technique was used to select focus group discussants. Community health extension workers were contacted first to recruit women who used MWHs (users) and those who did not (non-users). One of the reasons for using the qualitative approach in this particular study was to provide a more in-depth picture of the situation, as qualitative data would reflect the cultural beliefs and practices that need to be considered for MWH service improvement in the future. Four focus group discussions (six to eight participants per group) were conducted among MWH users (2) and MWH non-users (2). Data collection methods and procedures A semi-structured interviewer-administered questionnaire was developed after reviewing the relevant literature in the field (see Additional file 1). Socio-demographic information, obstetric and reproductive health information, and data related to MWH awareness and utilization were collected using ODK through face-to-face interviews. High school graduates and HDSS site supervisors working in the district participated in the data collection. Individual and household Identity numbers, which were generated along with the list of eligible women from the HDSS database, were used to access houses of the sampled women. For the qualitative data, semi-structured open-ended focus group discussion (FGD) guides were developed to facilitate the discussions (see Additional file 2). The principal author moderated the discussion in the presence of a facilitator from each of the kebele. Group discussions were conducted in health post halls. Idea saturation was used to determine the number of FGDs and each discussion was tape-recorded in order not to forget any issue discussed. Data quality management Two days of intensive training was given to the data collectors and supervisors by the study team with a particular emphasis on the objective of the study and the content of the questionnaire. The quantitative questionnaire used to obtain the data was initially prepared in English and translated to Amharic language by an expert in the language, and finally translated back to English to check its consistency with the original meanings. Prior to data collection, pre-testing was conducted outside the study area on 5% of the sample and some important improvements were made on the content of the questions. The subjects were interviewed in separate private places to minimize social desirability bias. Data were collected using ODK to reduce data entry-related errors. Data analysis The collected data in the ODK, which was in CSV format, was exported to STATA version 15 software package for further management and analysis. Descriptive statistics were used to describe the level of utilization of MWH services and explanatory variables. The findings were presented in narration, tables and graphs as frequencies, proportions, and means, with their corresponding standard deviations. The principal component analysis (PCA) was used to construct the socioeconomic status (wealth index) of the households where the study participants lived. The questions were adapted from the Ethiopian Demographic Health Survey 2016 [ 30 ], which includes information on household ownership of durable assets, house and livestock, housing characteristics, and access to utilities and infrastructure. All variables that supposedly measure household wealth were coded into binary variables (0/1). Wealth quintiles (five equal groups) were then constructed based on weights for each asset with the 1st quintile representing the bottom (poorest) households and the 5th quintile representing the top (richest) households in the sample. Binary logistic regression analysis was performed to identify factors affecting the use of MWH services. Primarily, the association between each explanatory variable and the dependent variable was checked using bivariate logistic regression analysis. Then, explanatory variables which showed association at the bivariate level with p-values of less than 0.25 were considered using multivariable logistic regression analysis. Association between the dependent variable and the explanatory variables was reported using an adjusted odds ratio at a 95%-confidence interval. Finally, statistical significant association was declared at a p-value of ≤ 0.05. For the purpose of analysis, the recorded audio discussion was transcribed verbatim and categorized according to the themes that emerged, and narrative quotes have been presented to support the quantitative findings. Definition and operationalization of variables The dependent variable for this study was the use of MWH services. Those mothers who had stayed in MWHs during their last pregnancy were considered as MWH users while those that had never used MWH were regarded as non-users. The explanatory variables included socio-demographic variables, obstetric-related variables, MWH awareness, accessibility to health institutions’, and birth preparedness and complication readiness (BPCR) practice. To determine their level of preparedness, the study subjects were asked about the five basic components of BPCR: whether, for their last pregnancy, they saved up for their delivery, arranged ahead for transport, and identified in advance a place of delivery, a skilled attendant and a blood donor; and a woman was considered as “prepared” if she practiced at least three of the five components [ 31 – 33 ]. Results Socio-demographic characteristics of the study participants A total of 807 women, who had recently given birth, participated in this study. The mean age of the participants was 31.9 years (± 5.1). Majority of the study participants were from the rural area (91%), housewives (85.9%), married (99.6%) and had no formal schooling (70%) (Table 1). Table 1 Socio-demographic characteristics of the participants in Arba Minch zuria district, 2019 Variables Categories Frequency Percent Age category 15-24 40 5.0 24-35 506 62.7 35-48 261 32.3 Residency Semi-Urban 73 9.1 Rural 734 90.9 Occupation Housewife 693 85.9 Daily laborer 8 7.0 Farmer 37 32.5 Government employee 2 1.8 Private business 47 41.2 Merchant 15 13.2 Other 5 4.4 Ethnicity Gamo 687 85.1 Wolayta 14 1.7 Zeyse 93 11.5 Other *1 13 1.6 Religion Orthodox 244 30.2 Protestant 546 67.7 Traditional 15 1.9 Other *2 2 0.2 Marital Status Married 804 99.6 Separated 2 0.3 Single 1 0.1 Educational status of the mothers *3 Illiterate 565 70.0 Read and write 3 0.4 Elementary & Primary 200 24.8 Secondary & preparatory 32 4.0 Above grade 12 7 0.9 Additional job than being housewife No 693 85.8 Yes 114 14 Husband Education status *3 Illiterate 489 60.8 Read and write 10 1.2 Elementary & Primary 239 29.7 Secondary & preparatory 44 5.5 Above grade 12 22 2.7 Husbands’ occupation Daily laborer 71 8.8 Farmer 637 79.2 Government employee 21 2.6 Merchant 36 4.5 Private 15 1.9 Other *3 24 3.0 Wealth quintile 1 st quantile 163 20.2 2 nd quantile 160 19.8 3 rd quantile 162 20.1 4th quantile 161 20.0 5 th quantile 161 20.0 *1 (2 Amhara, 7 Oromo, 1 Koyira 1 konso, 1 gurage, 1 ganjule) *2 (geova witness) *3 (Educational status: Elementary & Primary is from 1-8, and Secondary and preparatory is from 9-12 Obstetric characteristics and birth preparedness plan Nearly all (98.6%) participants were multiparous, 706 of the women (87.48%) had antenatal visits, three out of the five mothers (62.4%) had given birth without the assistance of skilled providers, and only one in four (21.9%) women had prepared for birth and its possible complications during their last pregnancy (Table 2). Table 2 Obstetric characteristics and birth preparedness plan practice of the participants in Arba Minch Zuria district 2019 (n = 807) Variables Categories Frequency Percent Age at first marriage =18 618 76.6 Age at first pregnancy =18 745 92.3 Parity Primi-Para (1) 11 1.4 Multi-para (2-4) 417 51.7 Grand multipara ( > 5) 379 46.9 Pregnant during study period No 751 93.2 Yes 55 6.8 History of neonatal death No 735 91.1 Yes 72 8.9 Family size 7 70 8.7 History of family planning use Currently using 393 48.7 Never used 244 30.2 Used in the past 170 21.1 Birth plan practice Not prepared 636 78.8 Prepared 171 21.2 ANC visits No visit 101 12.5 ANC 1-3 333 41.3 ANC 4+ 373 46.2 Place of ANC Health centers 199 28.2 Health posts 501 71.0 Hospital 6 0.8 Decision maker for obstetric care seeking Husband/partner 138 17.1 Jointly 634 78.6 Respondent 35 4.3 Place of last birth Home 504 62.0 Health facility 303 38.0 Mode of delivery Cesarean Delivery 21 2.6 Vaginal delivery 786 97.4 Previous complications during childbirth No 766 94.9 Yes 41 5.1 Seek treatment for the complications from health facilities No 7 17.1 Yes 34 82.9 Travel time to the nearest health institution 2 hours 149 18 Difficulty to get emergency transport Difficult 354 43.9 Easy 130 16.1 Very difficult 323 40.0 Utilization of the existing MWHs Nearly two out of three (65.55%) participants have heard about the existence of MWHs at nearby healthcare facilities. The main source of this information was community health extension workers (61%). Only 68 (8.43%) of the participants used MWHs during their last pregnancy. Out of the 68 women, transportation problem (46 ≡ 67%), absence of food catering at the MWHs (51 ≡ 75%), and poor availability of utensils (11 ≡ 16%) were the main challenges they faced during their stay (see Fig. 1 ). Corroborating the quantitative findings, the FGD discussants highlighted that substandard service at the MWHs and adjacent health centers are among the reasons most pregnant women do not make use of the existing MWHs, as illustrated below: One of the discussants, a 28-year-old lady, said: I decided to stay in this home [MWH] and I was escorted by two of my relatives. The room had no partition for changing your clothes, was small, and couldn’t occupy more than three people at a time. How do you protect your privacy in this room with no space for the ones that accompanied you? Guess what will happen? You would rather prefer not to come here. [Age 28, MWH user] The MWH users also frequently mentioned that the absence of food catering and the poor quality of care at the MWHs are the prime reasons why most women return to the homes after a few days at the MWHs, as illustrated below: There used to be food catering in [MWHs] during the time the community used to contribute for the service. But that stopped, so I brought my own food, but there was no money to continue buying food after two days. I didn’t have other options than to return back home. I also remember there were pregnant women who wanted to prepare their own food, but they couldn't because there were no designated area and utensils to cook. So, they had to buy food. [Age 32, MWH user] For my last-child, as the health facility is quite far away from my residence and the time was rainy season, I had stayed in the MWH before delivery. It is good to have this kind of home where pregnant women can rest but I had noticed that cleanliness at the home [MWH] was poor and no one was responsible for it. [Age 24, MWH user] Another issue raised by most of the users was the attitudes of the providers towards the expectant mothers, which most likely influence the uptake and utilization of the MWHs, as illustrated below: Even though we have good health care providers who make us feel at home [health center] ... I'm sorry to say that... there are few who discourage us from using [the] MWH. Literally, they encourage you to return back to your home as long as you have someone who would escort you to the facility when active labor begins. [Age 32, MWH non-user] The FGD discussants most frequently mentioned previous childbirth complications, poor transport alternatives and long-distance travels through mountainous terrains to the facilities, and their husbands’ consent as factors that make them use the MWHs, as illustrated below: I wanted to go to [the] MWH, not because I was told about the importance, but because I couldn't afford the payment for transportation, even I didn’t have alternative transportation means in case something [unforeseen] happens during childbirth at home. Instead, I preferred to be close to the facility with professional care. [Age 33, MWH user] I knew about the existence of MWHs in my catchment [area] but I had to request my husband’s permission to use it. I and my husband made [a] joint decision about that during my last pregnancy; it would have been unlikely to use [the] MWH without his consent. As you leave your home, someone has to take care of all the responsibilities you have at home, including the caring and rearing roles. [Age 20, MWH user] The very reason I decided to stay in [the] MWH was my shocking experience during my second childbirth. …I was with [a] traditional birth attendant [TBA]. For some reason I don’t know, I had started bleeding shortly after the child was born and the blood was a lot that the TBA couldn’t do anything… my village is quite far, walked long to get there [health center], and I was between life and death when I arrived there. If I had not received professional care at that time I would [not] be alive. [Age 28, MWH user] MWH was built based on our culture, I can say it is exactly the same as my home [home away from home], and it is nearby the HIs where you can get professional care and [be] treated immediately if complications occur during childbirth. Also, it is an ideal place where pregnant women could share information among themselves. However, improving the absence of food catering and providing basic supplies for the duration of stay and basic sanitation would possibly satisfy users and increase future uptake of the service. [Age 30, MWH user] Factors affecting MWH utilization The women’s economic status, decisions made jointly with male partners (husbands) for obstetric emergency, history of previous institutional childbirth, birth preparedness plan practice, history of previous childbirth complications, <2hrs travel distance to the nearest HI, and ease of access to transport in case of obstetric emergency were independent factors significantly associated with MWH use after adjusting for the effects of other variables. Accordingly, those women who live in households that fell within the 1st (AOR = 7.3; 95%CI: 1.2, 42) and 2nd wealth quintiles (AOR = 8.9; 95%CI: 1.8, 42) were more likely to use MWHs than those women grouped under the 5th quintile. Those women who made decisions jointly with their husbands to seek obstetric care (AOR = 3.6; 95%CI: 1.1, 12) had 3.6 times higher odds of using MWHs than those women whose husbands alone took the decisions. Concerning BPCR practice, those women who had prepared for birth and its possible complications were 6.5 (AOR = 6.5; 95%CI: 2.3, 18) times more likely to use MWHs than those women who did not prepare for birth and its possible complications. Compared to those mothers who had no history of institutional childbirth, the odds of staying in MWHs by those women who have a history of previous health institutional childbirth is 12-times higher (AOR = 12; 95%CI: 3.8, 40). Those mothers who experienced complications during their previous childbirth were 3 times (AOR = 3; 95%CI: 1.0, 9) more likely to use MWHs during the following pregnancy compared with those mothers who had no such experience. Those women residing in areas within 2 hours of walking distance to the nearest HI were 3.3 times (AOR = 3.3; 95%CI: 1.4, 7.7) more likely to stay in MWHs compared to those women residing in areas farther than 2 hours of walking distance. Similarly, those women who had easy access to transport in case of obstetric emergency were 8.8 times (AOR = 8.8; 95%CI: 3.9, 19.8) more likely to stay in MWHs compared to those women who had difficulty in accessing transport for obstetric emergency (Table 4). Table 3 Awareness and utilization of MWHs in Arba Minch Zuria district in 2019 Variables Categories Freq. Percent MWH Awareness No 278 34.5 Yes 529 65.5 Sources of information Community leaders 68 12.8 Health extension workers 324 61.2 Health facility staff 124 23.4 Other 14 2.6 MWH location No 288 35.7 Yes 519 64.3 MWH stay No 739 91.6 Yes 68 8.4 Referral to MWH Health centers 5 7.4 Health extension workers 62 91.1 Decided by myself 1 1.5 Length of stay (number of days) 5 days 4 5.9 Decision to stay at MHW Husband 6 8.8 Jointly 58 85.3 Health care providers 3 4.4 Respondent 1 1.5 Companionship during MWH stay Husband 59 86.8 Mother 2 2.9 Neighbors 3 4.4 Relatives 4 5.9 Financial support during MWH stay Husband 61 89.7 Myself 1 1.5 Neighbors 2 2.9 Relatives 4 5.9 Social support during MWH stay Husband 51 75 Neighbors 6 8.8 Relatives 11 16.2 Table 4 Factors associated with utilization of MWHs in Arba Minch zuria district, 2019 (n = 807) Variable Categories Used MWH COR (95% CI) AOR (95% CI) No Yes Mothers’ educational status No formal education 542 26 1 1 Formal education 197 42 4.4 (2.6, 7.4) 0.6(0.2,1.3) Wealth index 1 st quantile 160 3 0.09 (0.03,0.28) 7.3 (1.2,42)* 2 nd quantile 154 6 0.18 (0.07,0.4) 8.9 (1.8, 42)* 3 rd quantile 156 6 0.18 (0.07,0.4) 3.9 (0.8,18) 4 th quantile 137 24 0.80 (0.4, 1.44) 2.4 (1.0,5.6) 5 th quantile 132 29 1 1 Decision about MCH care Husband/partner 133 5 1 1 Jointly 573 61 2.8 (1.1, 7.2) 3.6(1.0,12)* Respondents 33 2 1.6(0.3, 8.7) 1.0(0.1, 8) ANC visit No visit 97 2 1 1 1-3 visits 4 & more visits 301 339 32 34 5.2(1.2, 22) 4.9(1.1, 21) 1.5 (0.2, 11) 0.6(0.08,4.6) BPCR practice No 619 17 1 1 Yes 120 51 15.4 (8.6, 27.7) 6.5 (2.3,18)* Place of previous childbirth Home-birth 494 5 1 1 Health facility birth 234 63 26.2(10, 67) 12 (3.8, 40)* Previous Childbirth complications No 708 60 1 1 Yes 31 8 3.0 (1.3,6.9) 3 (1.0 ,9)* Travel distance to the nearest hospital < 2 hours 253 57 9.9 (5,19.3) 3.3 (1.4,7.7)* ≥2 hours 486 11 1 1 Emergency transportation access Easy to access 84 46 16.3 ( 9.3, 28) 8.8 (3.9, 19)* Difficult to access 655 22 1 1 * Significant at p<0.05 Discussion Using mixed methods design, this study tried to explore the barriers to the use of MWHs at Arba Minch Zuria District. Although all health centers in the study area have MWHs, the study revealed that only 8.4% of the participants used the service for their last pregnancy. The women’s economic status, decisions made jointly with male partners (husbands) for obstetric emergency, history of previous institutional childbirth, birth preparedness plan practice, history of previous childbirth complications, <2hrs travel distance to the nearest HI, and ease of access to transport in case of obstetric emergency were independent factors significantly associated with MWH use. The level of MWH use in agreement with a previous study in Jimma Zone, Western Ethiopia in 2016, where only 7% of the study participants had ever used MWHs [ 34 ]. In rural and hard-to-reach areas, the WHO recommends bringing all pregnant mothers, particularly those who are at risk of childbirth complications, physically close to obstetric facilities. This study was based entirely on the rural area, with the findings showing that the current use of MHW services is very low [ 35 , 36 ]. This might be due to the low level of awareness regarding the importance and benefits of using MWH, inadequate referral from health posts where pregnant women get in contact with the health system, poor encouragement of pregnant women to make prior arrangements for MWH services during antenatal care as part of their personal birth preparedness plans, and the perceived poor condition of existing MWHs [ 37 ]. The findings from a study conducted in Zambia showed a 31.5% MWH utilization, which is higher than for the current study. This is probably because promotional and awareness-creation activities might have been done, apart from the routine care, as part of the Saving Mothers Giving Life project in the Zambian study. Moreover, one possible reason why a lower MWH use was recorded in the current study might have been because most MWHs are inaccessible due to the mountainous nature of the setting and lack of faster transport options [ 38 ]. This study showed that women in the lower wealth quintiles (1st and 2nd ) were more likely to use MWH services than those women in the highest (5th ) quantile. Similar findings have also been reported by studies conducted in Gurage zone, Central Ethiopia, Tanzania, Zambia and Malawi, all of which highlighted that poorer women were more likely to use MWH services than women in the wealthiest quintile [ 14 , 39 – 42 ]. The possible reason might be that staying in MWHs may be the only means the poorer women could access obstetric care and overcome delay in reaching the HIs as a result of exorbitant transportation cost and poor road condition. It is also likely that women from households in the lowest quintile had no choice than to stay in MWHs even though the existing MWHs are substandard. At the same time, the poor quality of MWHs service might have discouraged the richest women from utilizing the existing MWHs. On the contrary, a cross-sectional study conducted in Jimma Zone, Western Ethiopia reported that women from wealthier households were more likely to be MWH-users than the poorest women [ 34 ], notwithstanding that the wealthy women (5th quintile) would likely have the economic means for emergency transport to the hospital once they went into labor. This result suggests that women in the wealthier quintiles can be encouraged to use MWHs as far as the problem related to the quality of service is resolved. Moreover, there is the need to upgrade the condition of the existing MWHs to a level suitable for women from different socioeconomic backgrounds. The current study also found that women who made decisions jointly with their husbands had higher odds of staying in MWHs compared to those women whose husbands alone took the decisions. This finding is also supported by the qualitative finding that most MWH users were accompanied and financially supported by their husbands. Also, MWH users explained that it would not be possible for a woman to stay in MWHs without a joint decision with the husband, as the woman is expected to leave the house for a longer period; the husband and other adult care-takers would have to take care of the home chores till the mother returns back home. A number of studies indicated that decisions made jointly with husbands/partners were associated with improved maternal health outcomes, including maternal service utilization [ 43 , 44 ]. This shows that household decision-making to seek obstetric care from the HIs, particularly to stay in MWHs, in collaboration with husbands, could increase the use of MWHs. Another factor which was statistically associated with use of MWH services was the practice of birth preparedness plan. The finding showed that even though staying at MWH is not a component of personalized birth preparedness plan, women who had prepared for birth and its possible complications were about 6.5 times more likely to use MWH services than those who had not [ 5 ]. This is due to the fact that in rural areas like Arba Minch Zuria District, lack of transportation options and poor accessible roads are major hindrances to access to lifesaving obstetric care in case of emergency. As a result, those pregnant women who prepared to give birth at HIs preferred to stay at MWHs until they were due for childbirth. It is also likely that those women who practiced birth preparedness plan received enough counseling from the healthcare providers, which might include the use of MWH services. Hence, the inclusion of MWHs as a component of birth preparedness plan in the rural areas may be necessary. Because birth complications are unpredictable, pregnant women who are at a risk of complications related to childbirth are encouraged to use MWH services [ 5 ]. Previous studies have reported that most intended MWH users had experienced previous childbirth complications [ 40 ] or anticipated delivery complications and so needed to be close to HIs [ 34 ]. The result of the present study is consistent with those of these previous studies, highlighting that those mothers who had experienced childbirth complications were more likely to use MWH services during the following pregnancy. This implies that women who have had birth complications may be afraid that they are at a risk of similar events during the following childbirth, so that they decide to be close to the HIs by staying at MWHs. On the contrary, one study carried out in Gurage Zone, Ethiopia reported that pregnancy complications were not statistically associated with the MWH utilization. This might be due to the differences in the study setting, as the current study was entirely based in a rural area, where the study population might not have had alternative means to overcome the second delay but to stay at MWH [ 45 ]. Earlier studies have shown a significant association between the use of MWHs and an increase in facility delivery, antenatal and postnatal attendance [ 16 , 46 , 47 ]. This result is somehow related to our finding that those women who had a history of previous health institutional childbirth were more likely to use MWHs than those who used to give birth outside the HIs. Women who have a history of previous health institutional childbirth (usually due to difficulty during labor) are likely to get adequate counseling and advice from skilled birth attendants if they stay at MWHs during their next pregnancies. Lessons the women learned from their past experiences might have informed their decisions to use the MWHs. The role of the health professionals in counseling the women may also be significant in this regard. MWHs were established to bridge the geographic gap in accessing obstetric care in remote areas [ 5 ]. However, our findings showed that those women residing in areas within 2 hours of walking distance to the nearest HI were more likely to use MWH service than those women whose homes were more than 2 hours of walking distance from the nearest HI. Similarly, those women who had easy access to transport in case of obstetric emergency were more likely to use MWH service than those women who had difficulty obtaining means of transport. A study conducted in rural Timor-Leste in 2007 also found a comparable result that women who lived within 5 km of the health centers were the group most likely to use MWHs [ 48 ]. The potential barriers to the utilization of MWHs, including long distances and the unavailability of means of transport to and from the MWHs, could be the reason why women in remote areas are not motivated to come to MWHs. Moreover, women in remote areas may not have adequate information about the benefits of MWHs and the adverse consequences of home delivery [ 38 ]. This conveys a message to the concerned bodies to act urgently as women from remote and hard-to-reach areas, who are the supposed candidates of the MWHs, do not make use of the existing homes probably because of lack of awareness regarding MWHs, difficulty in accessing the homes because of geographical barriers, or total absence of contact with HIs. The results of the current study might be an indication that for improved MWH use, good infrastructure and awareness-creation campaigns are needed to attract women who reside in remote areas [ 51 ]. This finding, however, does not corroborate the results of previous studies conducted in Zambia [ 49 ], Gurage Zone, Ethiopia [ 45 ], and Zimbabwe [ 50 ], which found that women who stayed in MWHs were more likely to live further away from the nearest HIs. This study has two major limitations. First, since the study was cross-sectional, it cannot be proven beyond doubt that the identified factors are causal. Secondly, the women’s self-reported travel time estimates might not have accurately reflected the physical inaccessibility of the MWHs. Except for these limitations, the study used both quantitative and qualitative methods of data collection, which allowed the exploration of factors that a single method would have not been able to capture adequately and provided up-to-date evidence on the current level of MWH use and its associated factors in the study area. Conclusions A low proportion of women use MWHs in the study area. The socioeconomic status of women, joint decision making involving both the women and their partners, the degree of preparation for birth and possible complications, history of previous obstetric complication, history of previous health institutional childbirth, residence in areas within 2 hours of walking distance to the nearest HI, and ease of access to transport in case of obstetric emergency were the independent positive factors significantly associated with the use of MWHs. Strategies to improve MWH utilization, including health promotion activities, are very crucial to increasing awareness about the importance of MWHs in the health system, thus enabling women to recognize danger signs during pregnancy and encouraging them to take an active role in household decision-making. Efforts should be made to incorporate MWHs as part of personalized birth preparedness and complication readiness plans for women living very far away from HIs, and to upgrade the existing MWH services so that they are suited to women from all socioeconomic status. As the attitude of healthcare providers has implications for the initial and continued use of MHWs by pregnant women, taking advantage of all opportunities to address the women, especially when they visit the HIs, and counsel them on the importance of MWHs in client-oriented manner are highly recommended. List Of Abbreviations MWH Maternity waiting home HIs Health institutions ODK Open Data Kit WHO World Health Organization Declarations Ethics approval and consent to participate Ethical clearance was obtained from the Institutional Ethical Review Board of Arba Minch University. Written informed consent was obtained from each study participant; for those participants who were unable to read we obtained a thumbprint to continue with the interview. Since all the participants included in this study were 18 years old or more, consent from the parents/guardians of the minors was not required. Privacy and confidentiality of information were assured before obtaining the data. A formal letter of permission was obtained from the Arba Minch Zuria district health office. Consent for publication Not applicable Availability of data and materials All data generated during this study are included in this published article and its supplementary information files. The minimum data set is however available from the authors upon reasonable request and with the permission of Arba Minch University. Competing interests The authors declare that they have no competing interests Funding This study was funded by Arba Minch University (http://www.amu.edu.et) (grant number: GOV/AMU/TH/CMHS/PH/DSS/02/10). The funder played no role in the design of the study, data collection and analysis, interpretation of the data, and writing of the manuscript. Authors’ contributions MKG, YJ and VD conceptualized the study and supervised the data collection process. MKG and YJ led the analysis of the data presented in this paper. MKG prepared the draft manuscript, with substantial inputs from YJ, VD, JVG and BTG. All authors have reviewed and approved this final draft of the manuscript. Acknowledgments We would like to thank Arba Minch University for funding this study. We are very grateful to Arba Minch HDSS for providing a sampling frame which served as a base for data collection. We are also thankful to the participants for committing their time to be interviewed and providing information necessary for the study. References WHO, UNICEF, UNFPA, And WBG, D. UNP. Trends in maternal mortality 2000 to 2017. Geneva:World Health Organization; 2019. Say L, Chou D, Barbour K, Barreix M, Cecatti JG, Costa ML, et al. Maternal morbidity: Time for reflection, recognition, and action. Vol. 141, International Journal of Gynecology and Obstetrics. 2018. p. 1–3. Lozano R, Wang H, Foreman KJ, Rajaratnam JK, Naghavi M, Marcus JR, et al. Progress towards Millennium Development Goals 4 and 5 on maternal and child mortality: An updated systematic analysis. Lancet. 2011;378(9797):1139–65. Central Statistical Agency, ICF A. Ethiopia Demographic and Health Survey 2016. Addis Ababa, Ethiopia, and Rockville, Maryland, USA; 2016. World Health Organization. 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Linking families and facilities for care at birth: What works to avert intrapartum-related deaths? Int J Gynecol Obstet. 2009;107(SUPPL.). Singh K, Speizer I, Kim ET, Lemani C, Phoya A. Reaching vulnerable women through maternity waiting homes in Malawi. Int J Gynaecol Obstet. 2017;136(1):91–7. Lori JR, Boyd CJ, Munro-Kramer ML, Veliz PT, Henry EG, Kaiser J, et al. Characteristics of maternity waiting homes and the women who use them: Findings from a baseline cross-sectional household survey among SMGL-supported districts in Zambia. PLoS One. 2018;13(12):e0209815. Kebede KM, Mihrete KM. Factors influencing women’s access to the maternity waiting home in rural Southwest Ethiopia: a qualitative exploration. BMC Pregnancy Childbirth. 2020 Dec 14;20(1):296. Sialubanje C, Massar K, Hamer DH, C Ruiter RA, Ruiter RAC. Personal and environmental factors associated with the utilisation of maternity waiting homes in rural Zambia. BMC Pregnancy Childbirth. 2017;17(1):1–15. Vermeiden T, Braat F, Medhin G, Gaym A, van den Akker T, Stekelenburg J. Factors associated with intended use of a maternity waiting home in Southern Ethiopia: a community-based cross-sectional study. BMC Pregnancy Childbirth. 2018;18(1):38. Fogliati P, Straneo M, Mangi S, Azzimonti G, Kisika F, Putoto G. A new use for an old tool: Maternity waiting homes to improve equity in rural childbirth care. Results from a cross-sectional hospital and community survey in Tanzania. Health Policy Plan. 2017;32(10):1354–60. Singh K, Speizer IS, Kim ET, Lemani C, Tang JH, Phoya A. Evaluation of a maternity waiting home and community education program in two districts of Malawi. BMC Pregnancy Childbirth. 2018;18(1):457. Eshete A, Adissu Y. Women’s Joint Decision on Contraceptive Use in Gedeo Zone, Southern Ethiopia: A Community Based Comparative Cross-Sectional Study. Int J Family Med. 2017;2017:1–9. Ghose B, Feng D, Tang S, Yaya S, He Z, Udenigwe O, et al. Women’s decision-making autonomy and utilisation of maternal healthcare services: Results from the Bangladesh Demographic and Health Survey. BMJ Open. 2017;7(9):1–8. Getachew B, Liabsuetrakul T, Gebrehiwot Y. Association of maternity waiting home utilization with women’s perceived geographic barriers and delivery complications in Ethiopia. Int J Health Plann Manage. 2020 Jan 1;35(1):e96–107. Henry EG, Semrau K, Hamer DH, Vian T, Nambao M, Mataka K, et al. The influence of quality maternity waiting homes on utilization of facilities for delivery in rural Zambia. Reprod Health. 2017 May 30;14(1):(30 May 2017). Lori JR, Munro ML, Rominski S, Williams G, Dahn BT, Boyd CJ, et al. Maternity waiting homes and traditional midwives in rural Liberia. Int J Gynecol Obstet. 2013;123(2):114–8. Wild K, Barclay L, Kelly P, Martins N. The tyranny of distance: Maternity waiting homes and access to birthing facilities in rural Timor-Leste. Bull World Health Organ. 2012;90(2):97–103. Van Lonkhuijzen L, Stegeman M, Nyirongo R, Van Roosmalen J. Use of Maternity Waiting Home in Rural Zambia. Afr J Reprod Health. 2003;7(1):32–6. Chandramohan D, Cutts F, Millard P. The effect of stay in a maternity waiting home on perinatal mortality in rural Zimbabwe. J Trop Med Hyg. 1995 Aug;98(4):261–7. Bergen N, Abebe L, Asfaw S, Kiros G, Kulkarni MA, Mamo A, et al. Maternity waiting areas–serving all women? Barriers and enablers of an equity-oriented maternal health intervention in Jimma Zone, Ethiopia. Glob Public Health. 2019;14(10):1509–23. Supplementary Files Quantitativesurveyinstrument.docx Additional file 1 Supplementary File 1. Survey Questionnaire. Survey questionnaire we used to collect information from the study participants. Focusgroupdiscussionguide.docx Additional file 2 Supplementary File 2. Focus Group Discussion Guides. The FGD guide we was used to guide the discussions with MWHs users and non-users. STROBEchecklistv4crosssectional.pdf Cite Share Download PDF Status: Published Journal Publication published 02 Feb, 2021 Read the published version in Reproductive Health → Version 1 posted Editorial decision: Minor revision 05 Nov, 2020 Review # 1 received at journal 30 Oct, 2020 Review # 2 received at journal 30 Oct, 2020 Reviewer # 1 agreed at journal 13 Oct, 2020 Reviewer # 2 agreed at journal 13 Oct, 2020 Reviewers invited by journal 12 Oct, 2020 Editor assigned by journal 01 Oct, 2020 Editor invited by journal 30 Sep, 2020 Submission checks completed at journal 28 Sep, 2020 First submitted to journal 25 Sep, 2020 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. 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Also discoverable on Platform About Our Team In Review Editorial Policies Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-79351","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research","associatedPublications":[],"authors":[{"id":2865216,"identity":"30c84ce4-7684-4b3f-af10-b08ee2891fb7","order_by":0,"name":"Mekdes Kondale Gurara","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAABCklEQVRIiWNgGAWjYFACNgYJIGkAxg8YbCCCPERrSWBIQ2jBrQ1Vy2HCWnTb2xJvfPjDYMwv3bzxQ0LFeXndGQmMD962McjZ49BidubYYcuZbQxmknOOFUsknLltuO1GArPh3DYGY1y2mN1Ib5PmbWCwMbiRYyCR2HabEaiFTZq3jSGxB5eW+8/bpP/8AWsx/pH475w9UAv7b6CWepxabrAdkwYGgRlQi5lEYsOBRJAtzEAtCTgddiYt2bK3TcJYckZamUXCseTkbWceNkvOOSdh2HMAh5bjxwxv/PhjY9gvkbz5xocaO9ttx5MPfnhTZiPP3oDDGgiQQOYwNqCLjIJRMApGwSggEQAAWRJblQ8+M+cAAAAASUVORK5CYII=","orcid":"https://orcid.org/0000-0001-8977-8772","institution":"Arba Minch University","correspondingAuthor":true,"submittingAuthor":false,"prefix":"","firstName":"Mekdes","middleName":"Kondale","lastName":"Gurara","suffix":""},{"id":2865217,"identity":"949e3303-8282-450d-b19b-0adb120b848c","order_by":1,"name":"Jean-Pierre Van Geertruyden","email":"","orcid":"","institution":"Universitair Ziekenhuis Antwerpen","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Jean-Pierre","middleName":"Van","lastName":"Geertruyden","suffix":""},{"id":2865218,"identity":"52b8836a-da32-4128-86b9-bd47e25f7784","order_by":2,"name":"Befikadu Tariku Gutema","email":"","orcid":"","institution":"Arba Minch University","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Befikadu","middleName":"Tariku","lastName":"Gutema","suffix":""},{"id":2865219,"identity":"d4b171d0-6b0a-4101-ad16-b25367333395","order_by":3,"name":"Veerle Draulans","email":"","orcid":"","institution":"Katholieke Universiteit Leuven","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Veerle","middleName":"","lastName":"Draulans","suffix":""},{"id":2865220,"identity":"34608b7c-c023-4736-871a-2c03256aae48","order_by":4,"name":"Yves Jacquemyn","email":"","orcid":"","institution":"Universitair Ziekenhuis Antwerpen","correspondingAuthor":false,"submittingAuthor":false,"prefix":"","firstName":"Yves","middleName":"","lastName":"Jacquemyn","suffix":""}],"badges":[],"createdAt":"2020-09-17 10:26:19","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-79351/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-79351/v1","draftVersion":[],"editorialEvents":[{"content":"https://doi.org/10.1186/s12978-021-01086-y","type":"published","date":"2021-02-02T15:02:12+00:00"}],"editorialNote":"","failedWorkflow":false,"files":[{"id":2711866,"identity":"ae800205-0573-4bdb-8f96-a5c339ebacd4","added_by":"auto","created_at":"2020-09-30 22:03:31","extension":"jpg","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":49394,"visible":true,"origin":"","legend":"Challenges to stay at the MWHs among women who stayed in MWHs in Arba Minch zuria district, 2019. ","description":"","filename":"1.jpg","url":"https://assets-eu.researchsquare.com/files/rs-79351/v1/1.jpg"},{"id":13597070,"identity":"cb6f54ea-f1a8-41ca-b05a-03251291beee","added_by":"auto","created_at":"2021-09-17 05:30:55","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":472892,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-79351/v1/edb834f1-76a4-47d7-865f-3a5757919a43.pdf"},{"id":2711867,"identity":"796da4b0-f2d1-45e9-a53f-3a9b573e363b","added_by":"auto","created_at":"2020-09-30 22:03:31","extension":"docx","order_by":1,"title":"","display":"","copyAsset":false,"role":"supplement","size":61220,"visible":true,"origin":"","legend":"Additional file 1 Supplementary File 1. Survey Questionnaire. Survey questionnaire we used to collect information from the study participants. ","description":"","filename":"Quantitativesurveyinstrument.docx","url":"https://assets-eu.researchsquare.com/files/rs-79351/v1/Quantitativesurveyinstrument.docx"},{"id":2711869,"identity":"f0da8393-e162-4381-9db2-d42a49aa04d7","added_by":"auto","created_at":"2020-09-30 22:03:31","extension":"docx","order_by":2,"title":"","display":"","copyAsset":false,"role":"supplement","size":23757,"visible":true,"origin":"","legend":"Additional file 2 Supplementary File 2. Focus Group Discussion Guides. The FGD guide we was used to guide the discussions with MWHs users and non-users. ","description":"","filename":"Focusgroupdiscussionguide.docx","url":"https://assets-eu.researchsquare.com/files/rs-79351/v1/Focusgroupdiscussionguide.docx"},{"id":2711870,"identity":"a1b1dc51-c560-4a6f-a58a-94b9e01c6410","added_by":"auto","created_at":"2020-09-30 22:03:32","extension":"pdf","order_by":3,"title":"","display":"","copyAsset":false,"role":"supplement","size":18545,"visible":true,"origin":"","legend":"","description":"","filename":"STROBEchecklistv4crosssectional.pdf","url":"https://assets-eu.researchsquare.com/files/rs-79351/v1/STROBEchecklistv4crosssectional.pdf"}],"financialInterests":"","formattedTitle":"Maternity waiting homes as component of birth preparedness and complication readiness for rural women in hard-to-reach areas in Ethiopia","fulltext":[{"header":"Plain English Summary","content":" \u003cp\u003eOne of the ways to reduce maternal and neonatal deaths is to ensure that there is a skilled birth attendant (SBA) at every child-birth. However, in rural Ethiopia, more than half of all births occur at home without the help of SBAs. In remote and hard to areas, geographical and logistical barriers are among the main factors hindering skilled birth attendance. Maternity waiting homes (MWH) have been implemented in rural districts of Ethiopia with the aim to address these deterrents. The purpose of this study was to assess the barriers to MWHs use in the rural district of southern Ethiopia.\u003c/p\u003e \u003cp\u003eFace-to-face interviews were conducted among 807 women who gave birth two years before the study period. A semi-structured questionnaire was used to collect quantitative data. We have also conducted focus group discussions to get an in-depth insight into the barriers to MWHs utilization.\u003c/p\u003e \u003cp\u003eOverall, we found a low MWH utilization; women who prepared for birth and its possible complication had higher rates of MWH use. Moreover, women in the low wealth quintile, who made decisions jointly with their partners, had a history of previous institutional childbirth, residing within two hours walking distance, and had the ease of access to transport were more likely to use the existing MWH services. To increase MWH utilization with the aim to improve access to SBA, promoting birth preparedness practices, incorporating MWH as part of a personalized birth plan, promoting MWHs for women living far away, and upgrading existing MWHs are highly recommended.\u003c/p\u003e "},{"header":"Background","content":"\u003cp\u003eMaternal mortality continues to be a public health problem globally despite the existence of effective interventions to curb it. In 2017, an estimated 295,000 women died from preventable obstetric complications worldwide, 94% of the deaths occurring in low-income countries. The sub-Saharan region accounted for 66% of the deaths, with 59% occurring in Ethiopia alone, a share that was among the top ten by country in the world [\u003cspan class=\"CitationRef\"\u003e1\u003c/span\u003e]. Moreover, for every woman who dies of pregnancy-related complications, about 20\u0026ndash;30 others experience morbidity globally, and the burden is adjudged to be highest in low income-countries [\u003cspan class=\"CitationRef\"\u003e1\u003c/span\u003e, \u003cspan class=\"CitationRef\"\u003e2\u003c/span\u003e].\u003c/p\u003e\n\u003cp\u003eEnsuring skilled care at delivery, backed up by easy and available transport in case of emergency referral, is vital in reducing maternal morbidity and mortality [\u003cspan class=\"CitationRef\"\u003e3\u003c/span\u003e]. Yet, the lack of timely planning for skilled care for normal births and inadequate preparations for obstetric complications is common in low-income countries, especially in Ethiopia where more than 50% of all births are not assisted by skilled providers [\u003cspan class=\"CitationRef\"\u003e4\u003c/span\u003e]. It has been proven that making a birth plan during pregnancy reduces delay in obtaining care and promotes the timely use of emergency obstetric care [\u003cspan class=\"CitationRef\"\u003e5\u003c/span\u003e\u0026ndash;\u003cspan class=\"CitationRef\"\u003e8\u003c/span\u003e]. The major components of birth preparedness include: selecting a desired place of birth, identifying a skilled provider and making the necessary arrangements to receive skilled care for normal births, and preparing for prompt action in the event of an obstetric emergency [\u003cspan class=\"CitationRef\"\u003e5\u003c/span\u003e].\u003c/p\u003e\n\u003cp\u003eYet, transportation issues, such as the poor condition of local roads and the distance of health institutions (HIs) from the homes of pregnant women, appear to be important factors influencing access to timely obstetric care and may lead to poor pregnancy outcomes [\u003cspan class=\"CitationRef\"\u003e9\u003c/span\u003e]. To overcome the major logistic barriers in low-income countries, the establishment of maternity waiting homes (MWHs) at or around HIs has been widely adopted in addition to the common birth preparedness plans. MWHs are homes or shelters built nearby or in the premises of HIs, where pregnant mothers can lodge so that, when they go into labor, they can be quickly transferred to the facilities for safe delivery [\u003cspan class=\"CitationRef\"\u003e5\u003c/span\u003e, \u003cspan class=\"CitationRef\"\u003e10\u003c/span\u003e\u0026ndash;\u003cspan class=\"CitationRef\"\u003e13\u003c/span\u003e]. Regarding the contributions of the homes, several studies have reported that MWHs improve attendance to antenatal and postnatal care and reduce the odds of homebirth [\u003cspan class=\"CitationRef\"\u003e12\u003c/span\u003e, \u003cspan class=\"CitationRef\"\u003e14\u003c/span\u003e\u0026ndash;\u003cspan class=\"CitationRef\"\u003e17\u003c/span\u003e]. However, as MWHs have not been considered as one component of a personalized birth plan, there is still a very huge proportion of homebirths in rural and hard-to-reach areas [\u003cspan class=\"CitationRef\"\u003e18\u003c/span\u003e]. Poor quality of care at both the MWHs and the adjacent facilities, structural barriers, costs associated with transportation, and psychosocial aspects of the care also result in limited use of the existing MWH services [\u003cspan class=\"CitationRef\"\u003e19\u003c/span\u003e\u0026ndash;\u003cspan class=\"CitationRef\"\u003e24\u003c/span\u003e].\u003c/p\u003e\n\u003cp\u003eHowever, to the best of the researchers\u0026rsquo; knowledge, there is no study in the literature which addresses the association between MWH use and birth preparedness plan in Ethiopia. This study, therefore, considers birth preparedness practice as a factor which may affect stay at MWHs. Although MWH intervention has been promoted in the study area to decrease delays in access to maternal care, previous studies have reported that only 9.7% of the women completed the continuum of care [\u003cspan class=\"CitationRef\"\u003e25\u003c/span\u003e] and 18.5% of births were assisted by skilled birth attendants [\u003cspan class=\"CitationRef\"\u003e22\u003c/span\u003e, \u003cspan class=\"CitationRef\"\u003e26\u003c/span\u003e], with about 30% prevalence of birth preparedness plans [\u003cspan class=\"CitationRef\"\u003e27\u003c/span\u003e]. Evaluation of contextually related barriers and constraints to access to MWH services using mixed methods design may improve maternal health. Therefore, this study aimed to explore the barriers to the use of MWHs, taking into account the social-cultural and economic factors of the participants, birth preparedness practices, and geographic specifics of the setting.\u003c/p\u003e"},{"header":"Methods","content":"\u003cdiv id=\"Sec4\" class=\"Section2\"\u003e\n\u003cp\u003e\u003cstrong\u003eStudy area and setting\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe study was conducted at Arba Minch Health Demographic Surveillance site (HDSS), which is located at Arba Minch Zuria District of Gamo Zone, Southern Ethiopia. The district has a total of 29 kebele (the smallest administrative structure in Ethiopia): 2 semi-urban and 27 rural. Out of the 29 kebele in the district, 9 (eight rural and one semi-urban) were selected randomly based on their geo-climatic zone (high-, mid- or lowland). The surveillance site uses an Open Data Kit (ODK) tablet computer-based application for data collection with updates conducted biannually. Since the HDSS establishment in 2009, there has been continuous recording of vital events and utilization of health services, including verbal autopsy for the cause of death. According to the 2007 Ethiopian national census, the estimated projected total population of the district for 2017 was 195,858, of which 97,953 were female. There are seven health centers in the surveillance site; six of the health centers are attached each with an MWH as a physically separate room.\u003c/p\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec5\" class=\"Section2\"\u003e\n\u003cp\u003e\u003cstrong\u003eStudy design and period\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eA community-based cross-sectional study using mixed methods design was conducted between February 1 and 30, 2019.\u003c/p\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec6\" class=\"Section2\"\u003e\n\u003cp\u003e\u003cstrong\u003ePopulation of the study\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe source population for this study comprised of all women in Arba Minch Zuria District who had given birth within two years to the beginning of the survey. The study population was women in the nine kebele of Arba Minch HDSS site who had given birth within two years to the survey. During data collection, women who were seriously ill or unable to give information were excluded from the study.\u003c/p\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec7\" class=\"Section2\"\u003e\n\u003cp\u003e\u003cstrong\u003eSample size determination and sampling technique\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eA single population proportion [\u003cspan class=\"CitationRef\"\u003e28\u003c/span\u003e] formula was used to estimate the minimum sample size required for the study, with an estimated level of MWH utilization of 31.5% adopted from a previous study [\u003cspan class=\"CitationRef\"\u003e16\u003c/span\u003e], a maximum tolerable error of 5%, and a value of standard normal distribution (z-statistic) of 1.96\u0026nbsp;at 95% confidence level. The calculated sample size using the above assumptions was 663. In addition, the sample size for the barriers to MWH use (women\u0026rsquo;s occupation, household index, and travel time to obstetric care facility) [\u003cspan class=\"CitationRef\"\u003e29\u003c/span\u003e] was computed yet the result yielded a smaller sample size than the level of utilization. An additional 10% from the estimated sample size was considered to compensate for potential non-responses and multiplying the design effect by two, and the final sample size for the study was 814.\u003c/p\u003e\n\u003cp\u003eA sampling frame, a list of 2187 women who gave birth between 2017 and 2018, was obtained from the HDSS database and used to select the study unit. The required sample size was proportionally allocated to each kebele based on the total number of eligible women per kebele. The eligible women for interviews were then selected using computer generated random numbers. For qualitative data, purposive sampling technique was used to select focus group discussants. Community health extension workers were contacted first to recruit women who used MWHs (users) and those who did not (non-users). One of the reasons for using the qualitative approach in this particular study was to provide a more in-depth picture of the situation, as qualitative data would reflect the cultural beliefs and practices that need to be considered for MWH service improvement in the future. Four focus group discussions (six to eight participants per group) were conducted among MWH users (2) and MWH non-users (2).\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eData collection methods and procedures\u003c/strong\u003e\u003c/p\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec8\" class=\"Section2\"\u003e\n\u003cp\u003eA semi-structured interviewer-administered questionnaire was developed after reviewing the relevant literature in the field (see Additional file 1). Socio-demographic information, obstetric and reproductive health information, and data related to MWH awareness and utilization were collected using ODK through face-to-face interviews. High school graduates and HDSS site supervisors working in the district participated in the data collection. Individual and household Identity numbers, which were generated along with the list of eligible women from the HDSS database, were used to access houses of the sampled women.\u003c/p\u003e\n\u003cp\u003eFor the qualitative data, semi-structured open-ended focus group discussion (FGD) guides were developed to facilitate the discussions (see Additional file 2). The principal author moderated the discussion in the presence of a facilitator from each of the kebele. Group discussions were conducted in health post halls. Idea saturation was used to determine the number of FGDs and each discussion was tape-recorded in order not to forget any issue discussed.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eData quality management\u003c/strong\u003e\u003c/p\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec9\" class=\"Section2\"\u003e\n\u003cp\u003eTwo days of intensive training was given to the data collectors and supervisors by the study team with a particular emphasis on the objective of the study and the content of the questionnaire. The quantitative questionnaire used to obtain the data was initially prepared in English and translated to Amharic language by an expert in the language, and finally translated back to English to check its consistency with the original meanings. Prior to data collection, pre-testing was conducted outside the study area on 5% of the sample and some important improvements were made on the content of the questions. The subjects were interviewed in separate private places to minimize social desirability bias. Data were collected using ODK to reduce data entry-related errors.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eData analysis\u003c/strong\u003e\u003c/p\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec10\" class=\"Section2\"\u003e\n\u003cp\u003eThe collected data in the ODK, which was in CSV format, was exported to STATA version 15 software package for further management and analysis. Descriptive statistics were used to describe the level of utilization of MWH services and explanatory variables. The findings were presented in narration, tables and graphs as frequencies, proportions, and means, with their corresponding standard deviations. The principal component analysis (PCA) was used to construct the socioeconomic status (wealth index) of the households where the study participants lived. The questions were adapted from the Ethiopian Demographic Health Survey 2016 [\u003cspan class=\"CitationRef\"\u003e30\u003c/span\u003e], which includes information on household ownership of durable assets, house and livestock, housing characteristics, and access to utilities and infrastructure. All variables that supposedly measure household wealth were coded into binary variables (0/1). Wealth quintiles (five equal groups) were then constructed based on weights for each asset with the 1st quintile representing the bottom (poorest) households and the 5th quintile representing the top (richest) households in the sample.\u003c/p\u003e\n\u003cp\u003eBinary logistic regression analysis was performed to identify factors affecting the use of MWH services. Primarily, the association between each explanatory variable and the dependent variable was checked using bivariate logistic regression analysis. Then, explanatory variables which showed association at the bivariate level with p-values of less than 0.25 were considered using multivariable logistic regression analysis. Association between the dependent variable and the explanatory variables was reported using an adjusted odds ratio at a 95%-confidence interval. Finally, statistical significant association was declared at a p-value of \u0026le;\u0026thinsp;0.05. For the purpose of analysis, the recorded audio discussion was transcribed verbatim and categorized according to the themes that emerged, and narrative quotes have been presented to support the quantitative findings.\u003c/p\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec11\" class=\"Section2\"\u003e\n\u003cp\u003e\u003cstrong\u003eDefinition and operationalization of variables\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe dependent variable for this study was the use of MWH services. Those mothers who had stayed in MWHs during their last pregnancy were considered as MWH users while those that had never used MWH were regarded as non-users. The explanatory variables included socio-demographic variables, obstetric-related variables, MWH awareness, accessibility to health institutions\u0026rsquo;, and birth preparedness and complication readiness (BPCR) practice.\u003c/p\u003e\n\u003cp\u003eTo determine their level of preparedness, the study subjects were asked about the five basic components of BPCR: whether, for their last pregnancy, they saved up for their delivery, arranged ahead for transport, and identified in advance a place of delivery, a skilled attendant and a blood donor; and a woman was considered as \u0026ldquo;prepared\u0026rdquo; if she practiced at least three of the five components [\u003cspan class=\"CitationRef\"\u003e31\u003c/span\u003e\u0026ndash;\u003cspan class=\"CitationRef\"\u003e33\u003c/span\u003e].\u003c/p\u003e\n\u003c/div\u003e"},{"header":"Results","content":"\u003cdiv id=\"Sec13\" class=\"Section2\"\u003e\n\u003cp\u003e\u003cstrong\u003eSocio-demographic characteristics of the study participants\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eA total of 807 women, who had recently given birth, participated in this study. The mean age of the participants was 31.9\u0026nbsp;years (\u0026plusmn;\u0026thinsp;5.1). Majority of the study participants were from the rural area (91%), housewives (85.9%), married (99.6%) and had no formal schooling (70%) (Table\u0026nbsp;1).\u003c/p\u003e\n\u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 15px; font-family: Calibri, sans-serif;\"\u003eTable 1\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eSocio-demographic characteristics of the participants in Arba Minch zuria district, 2019\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003ctable style=\"width:352.05pt;border-collapse:collapse;border:none;\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:99.7pt;border-top:solid windowtext 1.0pt;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;margin-bottom:10.0pt;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eVariables\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 117.55pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;margin-bottom:10.0pt;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eCategories\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border-top:solid windowtext 1.0pt;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;margin-bottom:10.0pt;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eFrequency\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border-top:solid windowtext 1.0pt;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;margin-bottom:10.0pt;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003ePercent\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" style=\"width:99.7pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eAge category\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e15-24\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e40\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e5.0\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e24-35\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e506\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e62.7\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e35-48\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e261\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e32.3\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:99.7pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eResidency\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eSemi-Urban\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e73\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e9.1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eRural\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e734\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e90.9\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"7\" style=\"width:99.7pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eOccupation\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eHousewife\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e693\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e85.9\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eDaily laborer\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e8\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u0026nbsp; 7.0\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eFarmer\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e37\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e32.5\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eGovernment employee\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e2\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1.8\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003ePrivate business\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e47\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e41.2\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eMerchant\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e15\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e13.2\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eOther\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e5\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e4.4\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"4\" style=\"width:99.7pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eEthnicity\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eGamo\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e687\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e85.1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eWolayta\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e14\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1.7\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eZeyse\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e93\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e11.5\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eOther\u003csup\u003e*1\u003c/sup\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e13\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1.6\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"4\" style=\"width:99.7pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eReligion\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eOrthodox\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e244\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e30.2\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eProtestant\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e546\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e67.7\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eTraditional\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e15\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1.9\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eOther\u003csup\u003e*2\u003c/sup\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e2\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e0.2\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" style=\"width:99.7pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eMarital Status\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eMarried\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e804\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e99.6\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eSeparated\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e2\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e0.3\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eSingle\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e0.1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"5\" style=\"width:99.7pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eEducational status of the mothers \u003csup\u003e*3\u003c/sup\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eIlliterate\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e565\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e70.0\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eRead and write\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e3\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e0.4\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eElementary \u0026amp; Primary\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e200\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e24.8\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eSecondary \u0026amp; preparatory\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e32\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e4.0\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eAbove grade 12\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e7\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e0.9\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:99.7pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eAdditional job than being housewife\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eNo\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e693\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e85.8\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eYes\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e114\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e14\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"5\" style=\"width:99.7pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eHusband Education status\u003csup\u003e*3\u003c/sup\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eIlliterate\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e489\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e60.8\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eRead and write\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e10\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1.2\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eElementary \u0026amp; Primary\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e239\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e29.7\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eSecondary \u0026amp; preparatory\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e44\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e5.5\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eAbove grade 12\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e22\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e2.7\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"6\" style=\"width:99.7pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eHusbands\u0026rsquo; occupation\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eDaily laborer \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp;\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e71\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e8.8\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eFarmer\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e637\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e79.2\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eGovernment employee\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e21\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u0026nbsp;2.6\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eMerchant\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e36\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u0026nbsp;4.5\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003ePrivate\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e15\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u0026nbsp; 1.9\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eOther\u003csup\u003e*3\u003c/sup\u003e\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e24\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; 3.0\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"5\" style=\"width:99.7pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eWealth quintile\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1\u003csup\u003est\u003c/sup\u003e quantile\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e163\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e20.2\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e2\u003csup\u003end\u003c/sup\u003e quantile\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e160\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e19.8\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e3\u003csup\u003erd\u003c/sup\u003e quantile\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e162\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e20.1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border: none;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e4th quantile\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e161\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e20.0\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 117.55pt;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 7.4pt;vertical-align: top;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e5\u003csup\u003eth\u003c/sup\u003e quantile\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:88.9pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e161\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:45.9pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:7.4pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-family: Calibri, sans-serif; font-size: 15px;\"\u003e20.0\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;margin-bottom:10.0pt;'\u003e\u003cspan style=\"font-size: 15px; font-family: Calibri, sans-serif;\"\u003e*1 (2 Amhara, 7 Oromo, 1 Koyira 1 konso, 1 gurage, 1 ganjule) *2 (geova witness)\u003c/span\u003e\u003c/p\u003e\n\u003cp\u003e\u003cspan style=\"font-size: 15px; line-height: 200%; font-family: Calibri, sans-serif;\"\u003e*3 (Educational status: Elementary \u0026amp; Primary is from 1-8, and Secondary and preparatory is from 9-12\u003c/span\u003e\u003c/p\u003e\u003cbr\u003e\n\u003cp\u003e\u003cstrong\u003eObstetric characteristics and birth preparedness plan\u003c/strong\u003e\u003c/p\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec14\" class=\"Section2\"\u003e\n\u003cp\u003eNearly all (98.6%) participants were multiparous, 706 of the women (87.48%) had antenatal visits, three out of the five mothers (62.4%) had given birth without the assistance of skilled providers, and only one in four (21.9%) women had prepared for birth and its possible complications during their last pregnancy (Table\u0026nbsp;2).\u003c/p\u003e\n\u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 15px; font-family: Calibri, sans-serif;\"\u003eTable 2\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eObstetric characteristics and birth preparedness plan practice of the participants in Arba Minch Zuria district 2019 (n = 807)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003ctable style=\"border: none;width:438.2pt;margin-left:5.9pt;border-collapse:collapse;\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:157.0pt;border-top:solid windowtext 1.0pt;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u0026nbsp; \u0026nbsp; Variables\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 121.2pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;height: 1pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:justify;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eCategories\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border-top:solid windowtext 1.0pt;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eFrequency\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border-top:solid windowtext 1.0pt;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003ePercent\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:157.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eAge at first marriage\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:121.2pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u0026lt;18\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e189\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e23.4\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:121.2pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u0026gt;=18\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e618\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e76.6\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:157.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eAge at first pregnancy\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:121.2pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u0026lt;18\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e62\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e7.7\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:121.2pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u0026gt;=18\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e745\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e92.3\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" style=\"width:157.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eParity\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:121.2pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003ePrimi-Para (1)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e11\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1.4\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:121.2pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eMulti-para (2-4)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e417\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e51.7\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:121.2pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eGrand multipara (\u003cu\u003e\u0026gt;\u003c/u\u003e5)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e379\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e46.9\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:157.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003ePregnant during study period \u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:121.2pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eNo\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e751\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e93.2\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:121.2pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eYes\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e55\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e6.8\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:157.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eHistory of neonatal death\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:121.2pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eNo\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e735\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e91.1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:121.2pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eYes\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e72\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e8.9\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" style=\"width:157.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eFamily size \u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:121.2pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cu\u003e\u0026lt;\u003c/u\u003e4 \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e494\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e61.2\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:121.2pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e5\u0026ndash;6\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e243\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e30.1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:121.2pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cu\u003e\u0026gt;\u003c/u\u003e7\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e70\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e8.7\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" style=\"width:157.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eHistory of family planning use\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:121.2pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eCurrently using\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e393\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e48.7\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:121.2pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eNever used\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e244\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e30.2\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:121.2pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eUsed in the past\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e170\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e21.1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:157.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eBirth plan practice\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:121.2pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eNot prepared\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e636\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e78.8\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:121.2pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003ePrepared\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e171\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e21.2\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" style=\"width:157.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eANC visits\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:121.2pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eNo visit\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e101\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e12.5\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:121.2pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eANC 1-3\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e333\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e41.3\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:121.2pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eANC 4+\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e373\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e46.2\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" style=\"width:157.0pt;border-top:solid windowtext 1.0pt;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;background:white;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: black;\"\u003ePlace of ANC\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:121.2pt;border:none;border-top:solid windowtext 1.0pt;background:white;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: black;\"\u003eHealth centers\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-top:solid windowtext 1.0pt;background:white;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: black;\"\u003e199\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-top:solid windowtext 1.0pt;background:white;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: black;\"\u003e28.2\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:121.2pt;background:white;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: black;\"\u003eHealth posts\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;background:white;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: black;\"\u003e501\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;background:white;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: black;\"\u003e71.0\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:121.2pt;border:none;border-bottom:solid windowtext 1.0pt;background:white;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: black;\"\u003eHospital\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;background:white;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: black;\"\u003e6\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;background:white;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: black;\"\u003e0.8\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" style=\"width:157.0pt;border:none;border-bottom:solid windowtext 1.0pt;background:white;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: black;\"\u003eDecision maker for obstetric care seeking\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:121.2pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eHusband/partner\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e138\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e17.1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:121.2pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eJointly\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e634\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e78.6\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:121.2pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eRespondent\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e35\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e4.3\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:157.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003ePlace of last birth\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:121.2pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eHome\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e504\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e62.0\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:121.2pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eHealth facility\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e303\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e38.0\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:157.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eMode of delivery\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:121.2pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eCesarean Delivery\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e21\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e2.6\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:121.2pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eVaginal delivery\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e786\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e97.4\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:157.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003ePrevious complications during childbirth\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:121.2pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eNo\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e766\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e94.9\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:121.2pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eYes\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e41\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e5.1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:157.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eSeek treatment for the complications from health facilities\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:121.2pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eNo\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e7\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e17.1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:121.2pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eYes\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e34\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e82.9\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:157.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eTravel time to the nearest health institution\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:121.2pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u0026lt;2 hours\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e658\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e82\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:121.2pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u0026gt;2 hours\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e149\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e18\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" style=\"width:157.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eDifficulty to get emergency transport\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:121.2pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eDifficult\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e354\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e43.9\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:121.2pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eEasy\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e130\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e16.1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:121.2pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eVery difficult\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e323\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:80.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e40.0\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 15px; font-family: Calibri, sans-serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec15\" class=\"Section2\"\u003e\n\u003cp\u003e\u003cstrong\u003eUtilization of the existing MWHs\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eNearly two out of three (65.55%) participants have heard about the existence of MWHs at nearby healthcare facilities. The main source of this information was community health extension workers (61%). Only 68 (8.43%) of the participants used MWHs during their last pregnancy. Out of the 68 women, transportation problem (46\u0026thinsp;\u0026equiv;\u0026thinsp;67%), absence of food catering at the MWHs (51\u0026thinsp;\u0026equiv;\u0026thinsp;75%), and poor availability of utensils (11\u0026thinsp;\u0026equiv;\u0026thinsp;16%) were the main challenges they faced during their stay (see Fig.\u0026nbsp;\u003cspan class=\"InternalRef\"\u003e1\u003c/span\u003e).\u003c/p\u003e\n\u003cp\u003eCorroborating the quantitative findings, the FGD discussants highlighted that substandard service at the MWHs and adjacent health centers are among the reasons most pregnant women do not make use of the existing MWHs, as illustrated below:\u003c/p\u003e\n\u003cp\u003eOne of the discussants, a 28-year-old lady, said: I decided to stay in this home [MWH] and I was escorted by two of my relatives. The room had no partition for changing your clothes, was small, and couldn\u0026rsquo;t occupy more than three people at a time. How do you protect your privacy in this room with no space for the ones that accompanied you? Guess what will happen? You would rather prefer not to come here. [Age 28, MWH user]\u003c/p\u003e\n\u003cp\u003eThe MWH users also frequently mentioned that the absence of food catering and the poor quality of care at the MWHs are the prime reasons why most women return to the homes after a few days at the MWHs, as illustrated below:\u003c/p\u003e\n\u003cp\u003eThere used to be food catering in [MWHs] during the time the community used to contribute for the service. But that stopped, so I brought my own food, but there was no money to continue buying food after two days. I didn\u0026rsquo;t have other options than to return back home. I also remember there were pregnant women who wanted to prepare their own food, but they couldn't because there were no designated area and utensils to cook. So, they had to buy food. [Age 32, MWH user]\u003c/p\u003e\n\u003cp\u003eFor my last-child, as the health facility is quite far away from my residence and the time was rainy season, I had stayed in the MWH before delivery. It is good to have this kind of home where pregnant women can rest but I had noticed that cleanliness at the home [MWH] was poor and no one was responsible for it. [Age 24, MWH user]\u003c/p\u003e\n\u003cp\u003eAnother issue raised by most of the users was the attitudes of the providers towards the expectant mothers, which most likely influence the uptake and utilization of the MWHs, as illustrated below:\u003c/p\u003e\n\u003cp\u003eEven though we have good health care providers who make us feel at home [health center] ... I'm sorry to say that... there are few who discourage us from using [the] MWH. Literally, they encourage you to return back to your home as long as you have someone who would escort you to the facility when active labor begins. [Age 32, MWH non-user]\u003c/p\u003e\n\u003cp\u003eThe FGD discussants most frequently mentioned previous childbirth complications, poor transport alternatives and long-distance travels through mountainous terrains to the facilities, and their husbands\u0026rsquo; consent as factors that make them use the MWHs, as illustrated below:\u003c/p\u003e\n\u003cp\u003eI wanted to go to [the] MWH, not because I was told about the importance, but because I couldn't afford the payment for transportation, even I didn\u0026rsquo;t have alternative transportation means in case something [unforeseen] happens during childbirth at home. Instead, I preferred to be close to the facility with professional care. [Age 33, MWH user]\u003c/p\u003e\n\u003cp\u003eI knew about the existence of MWHs in my catchment [area] but I had to request my husband\u0026rsquo;s permission to use it. I and my husband made [a] joint decision about that during my last pregnancy; it would have been unlikely to use [the] MWH without his consent. As you leave your home, someone has to take care of all the responsibilities you have at home, including the caring and rearing roles. [Age 20, MWH user]\u003c/p\u003e\n\u003cp\u003eThe very reason I decided to stay in [the] MWH was my shocking experience during my second childbirth. \u0026hellip;I was with [a] traditional birth attendant [TBA]. For some reason I don\u0026rsquo;t know, I had started bleeding shortly after the child was born and the blood was a lot that the TBA couldn\u0026rsquo;t do anything\u0026hellip; my village is quite far, walked long to get there [health center], and I was between life and death when I arrived there. If I had not received professional care at that time I would [not] be alive. [Age 28, MWH user]\u003c/p\u003e\n\u003cp\u003eMWH was built based on our culture, I can say it is exactly the same as my home [home away from home], and it is nearby the HIs where you can get professional care and [be] treated immediately if complications occur during childbirth. Also, it is an ideal place where pregnant women could share information among themselves. However, improving the absence of food catering and providing basic supplies for the duration of stay and basic sanitation would possibly satisfy users and increase future uptake of the service. [Age 30, MWH user]\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eFactors affecting MWH utilization\u003c/strong\u003e\u003c/p\u003e\n\u003c/div\u003e\n\u003cdiv id=\"Sec16\" class=\"Section2\"\u003e\n\u003cp\u003eThe women\u0026rsquo;s economic status, decisions made jointly with male partners (husbands) for obstetric emergency, history of previous institutional childbirth, birth preparedness plan practice, history of previous childbirth complications, \u0026lt;2hrs travel distance to the nearest HI, and ease of access to transport in case of obstetric emergency were independent factors significantly associated with MWH use after adjusting for the effects of other variables.\u003c/p\u003e\n\u003cp\u003eAccordingly, those women who live in households that fell within the 1st (AOR\u0026thinsp;=\u0026thinsp;7.3; 95%CI: 1.2, 42) and 2nd wealth quintiles (AOR\u0026thinsp;=\u0026thinsp;8.9; 95%CI: 1.8, 42) were more likely to use MWHs than those women grouped under the 5th quintile. Those women who made decisions jointly with their husbands to seek obstetric care (AOR\u0026thinsp;=\u0026thinsp;3.6; 95%CI: 1.1, 12) had 3.6 times higher odds of using MWHs than those women whose husbands alone took the decisions. Concerning BPCR practice, those women who had prepared for birth and its possible complications were 6.5 (AOR\u0026thinsp;=\u0026thinsp;6.5; 95%CI: 2.3, 18) times more likely to use MWHs than those women who did not prepare for birth and its possible complications.\u003c/p\u003e\n\u003cp\u003eCompared to those mothers who had no history of institutional childbirth, the odds of staying in MWHs by those women who have a history of previous health institutional childbirth is 12-times higher (AOR\u0026thinsp;=\u0026thinsp;12; 95%CI: 3.8, 40). Those mothers who experienced complications during their previous childbirth were 3 times (AOR\u0026thinsp;=\u0026thinsp;3; 95%CI: 1.0, 9) more likely to use MWHs during the following pregnancy compared with those mothers who had no such experience.\u003c/p\u003e\n\u003cp\u003eThose women residing in areas within 2 hours of walking distance to the nearest HI were 3.3 times (AOR\u0026thinsp;=\u0026thinsp;3.3; 95%CI: 1.4, 7.7) more likely to stay in MWHs compared to those women residing in areas farther than 2 hours of walking distance. Similarly, those women who had easy access to transport in case of obstetric emergency were 8.8 times (AOR\u0026thinsp;=\u0026thinsp;8.8; 95%CI: 3.9, 19.8) more likely to stay in MWHs compared to those women who had difficulty in accessing transport for obstetric emergency (Table\u0026nbsp;4).\u003c/p\u003e\n\u003c/div\u003e\u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 15px; font-family: Calibri, sans-serif;\"\u003eTable 3\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eAwareness and utilization of MWHs in Arba Minch Zuria district in 2019\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003ctable style=\"border: none;width:487.0pt;margin-left:5.9pt;border-collapse:collapse;\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:169.0pt;border-top:solid windowtext 1.0pt;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cstrong\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp;Variables\u0026nbsp;\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 149pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;height: 1pt;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cstrong\u003eCategories\u0026nbsp;\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;border-top:solid windowtext 1.0pt;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cstrong\u003eFreq.\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;border-top:solid windowtext 1.0pt;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cstrong\u003ePercent\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:169.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eMWH Awareness \u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:149.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eNo\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e278\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e34.5\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:149.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eYes\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e529\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e65.5\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"4\" style=\"width:169.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eSources of information\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:149.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eCommunity leaders\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e68\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e12.8\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:149.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eHealth extension workers\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e324\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e61.2\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:149.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eHealth facility staff\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e124\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e23.4\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:149.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eOther\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e14\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u0026nbsp; 2.6\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:169.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eMWH location\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:149.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eNo\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e288\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e35.7\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:149.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eYes\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e519\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e64.3\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:169.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eMWH stay\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:149.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eNo \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e739\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e91.6\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:149.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eYes\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e68\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e8.4\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"4\" style=\"width:169.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eReferral to MWH\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:149.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eHealth centers\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e5\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e7.4\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:149.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eHealth extension workers\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e62\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e91.1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:149.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cbr\u003e\u003c/span\u003e\u003c/span\u003e\u003c/td\u003e\n \u003ctd style=\"width:94.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cbr\u003e\u003c/span\u003e\u003c/span\u003e\u003c/td\u003e\n \u003ctd style=\"width:75.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cbr\u003e\u003c/span\u003e\u003c/span\u003e\u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:149.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eDecided by myself\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1.5\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:169.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eLength of stay (number of days)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:149.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u0026lt;=5 days\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e64\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e94.1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:149.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u0026gt;5 days\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e4\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e5.9\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"4\" style=\"width:169.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eDecision to stay at MHW\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:149.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eHusband\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e6\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e8.8\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:149.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eJointly\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e58\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e85.3\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:149.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eHealth care providers\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e3\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e4.4\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:149.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eRespondent\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1.5\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"4\" style=\"width:169.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eCompanionship during MWH stay\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:149.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eHusband\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e59\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e86.8\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:149.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eMother\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e2\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e2.9\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:149.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eNeighbors\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e3\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e4.4\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:149.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eRelatives\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e4\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e5.9\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"4\" style=\"width:169.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eFinancial support during MWH stay\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:149.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eHusband\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e61\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e89.7\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:149.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eMyself\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1.5\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:149.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eNeighbors\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e2\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e2.9\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:149.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eRelatives\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e4\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e5.9\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" style=\"width:169.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eSocial support during MWH stay\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:149.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eHusband\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e51\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e75\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:149.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eNeighbors\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e6\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u0026nbsp; \u0026nbsp; 8.8\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:149.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eRelatives\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:94.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e11\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:75.0pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:1.0pt;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u0026nbsp; \u0026nbsp; 16.2\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n\u003c/table\u003e\n\u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 15px; font-family: Calibri, sans-serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003c/p\u003e\u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:justify;'\u003e\u003cstrong\u003e\u003cspan style=\"font-size: 15px; font-family: Calibri, sans-serif;\"\u003eTable 4\u0026nbsp;\u003c/span\u003e\u003c/strong\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eFactors associated with utilization of MWHs in Arba Minch zuria district, 2019 (n = 807)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cdiv align=\"center\" style='margin:0in;line-height:200%;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\n \u003ctable style=\"border: none;width:517.3pt;border-collapse:collapse;\"\u003e\n \u003ctbody\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width: 116.5pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cstrong\u003eVariable\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" style=\"width: 110.8pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cstrong\u003eCategories\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd colspan=\"2\" style=\"width: 69.45pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cstrong\u003eUsed MWH\u0026nbsp;\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" style=\"width: 114.4pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cstrong\u003eCOR (95% CI)\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd rowspan=\"2\" style=\"width: 106.15pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cstrong\u003eAOR (95% CI)\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width: 0.5in;border-top: none;border-right: none;border-left: none;border-image: initial;border-bottom: 1pt solid windowtext;padding: 0in 5.4pt;height: 0.2in;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cstrong\u003eNo\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width: 33.45pt;border-top: 1pt solid windowtext;border-left: none;border-bottom: 1pt solid windowtext;border-right: none;padding: 0in 5.4pt;height: 0.2in;vertical-align: bottom;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cstrong\u003eYes\u003c/strong\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:116.5pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eMothers\u0026rsquo; educational status\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:110.8pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eNo formal education\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:.5in;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e542\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:33.45pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e26\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:114.4pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.15pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:110.8pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eFormal education\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:.5in;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e197\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:33.45pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e42\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:114.4pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e4.4 (2.6, 7.4)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.15pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e0.6(0.2,1.3)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"5\" style=\"width:116.5pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eWealth index\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:110.8pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1\u003csup\u003est\u003c/sup\u003e quantile\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:.5in;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e160\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:33.45pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e3\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:114.4pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e0.09 (0.03,0.28)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.15pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e7.3 (1.2,42)*\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:110.8pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e2\u003csup\u003end\u003c/sup\u003e quantile\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:.5in;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e154\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:33.45pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e6\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:114.4pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e0.18 (0.07,0.4)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.15pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e8.9 (1.8, 42)*\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:110.8pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e3\u003csup\u003erd\u003c/sup\u003e quantile\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:.5in;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e156\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:33.45pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e6\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:114.4pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e0.18 (0.07,0.4)\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.15pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e3.9 (0.8,18)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:110.8pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e4\u003csup\u003eth\u003c/sup\u003e quantile\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:.5in;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e137\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:33.45pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e24\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:114.4pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e0.80 (0.4, 1.44)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.15pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e2.4 (1.0,5.6)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:110.8pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e5\u003csup\u003eth\u003c/sup\u003e quantile\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:.5in;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e132\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:33.45pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e29\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:114.4pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.15pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"3\" style=\"width:116.5pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eDecision about MCH care\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:110.8pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eHusband/partner\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:.5in;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e133\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:33.45pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e5\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:114.4pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.15pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:110.8pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eJointly\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:.5in;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e573\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:33.45pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e61\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:114.4pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e2.8 (1.1, 7.2)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.15pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e3.6(1.0,12)*\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:110.8pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eRespondents\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:.5in;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e33\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:33.45pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e2\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:114.4pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1.6(0.3, 8.7)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.15pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1.0(0.1, 8)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:116.5pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eANC visit\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:110.8pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eNo visit\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:.5in;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e97\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:33.45pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e2\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:114.4pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.15pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:110.8pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1-3 visits\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e4 \u0026amp; more visits\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:.5in;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e301\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e339\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:33.45pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e32\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e34\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:114.4pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e5.2(1.2, 22)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e4.9(1.1, 21)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.15pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1.5 (0.2, 11)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e0.6(0.08,4.6)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:116.5pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eBPCR practice\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:110.8pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eNo \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp;\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:.5in;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e619\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:33.45pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e17\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:114.4pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.15pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:110.8pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eYes\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:.5in;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e120\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:33.45pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e51\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:114.4pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e15.4 (8.6, 27.7)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.15pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e6.5 (2.3,18)*\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:116.5pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003ePlace of previous childbirth\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:110.8pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eHome-birth \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:.5in;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e494\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:33.45pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e5\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:114.4pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.15pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:110.8pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eHealth facility birth\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:.5in;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e234\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:33.45pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e63\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:114.4pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e26.2(10, 67)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.15pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e12 (3.8, 40)*\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:116.5pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003ePrevious Childbirth complications\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:110.8pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eNo\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:.5in;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e708\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:33.45pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e60\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:114.4pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.15pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:110.8pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eYes\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:.5in;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e31\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:33.45pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e8\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:114.4pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e3.0 (1.3,6.9)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.15pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e3 (1.0 ,9)*\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:116.5pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eTravel distance to the nearest hospital\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:110.8pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u0026lt; 2 hours\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:.5in;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e253\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:33.45pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e57\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:114.4pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e9.9 (5,19.3)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.15pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e3.3 (1.4,7.7)*\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:110.8pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u0026ge;2 hours \u0026nbsp; \u0026nbsp;\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:.5in;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e486\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:33.45pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e11\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:114.4pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.15pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd rowspan=\"2\" style=\"width:116.5pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eEmergency transportation access\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:110.8pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; Easy to access\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:.5in;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e84\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:33.45pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e46\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:114.4pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e16.3 ( 9.3, 28)\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.15pt;border:none;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e8.8 (3.9, 19)*\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003ctr\u003e\n \u003ctd style=\"width:110.8pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003eDifficult to access \u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:.5in;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e655\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:33.45pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e22\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:114.4pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003ctd style=\"width:106.15pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:.2in;\"\u003e\n \u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;text-align:center;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e1\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n \u003c/td\u003e\n \u003c/tr\u003e\n \u003c/tbody\u003e\n \u003c/table\u003e\n\u003c/div\u003e\n\u003cp style='margin:0in;line-height:normal;font-size:13px;font-family:\"Arial\",sans-serif;background:white;'\u003e\u003cspan style=\"font-size: 15px;\"\u003e\u003cspan style=\"font-family: Calibri, sans-serif;\"\u003e\u003cspan style=\"color: black;\"\u003e* Significant at p\u0026lt;0.05\u0026nbsp;\u003c/span\u003e\u003c/span\u003e\u003c/span\u003e\u003c/p\u003e\n\u003cp style='margin:0in;line-height:200%;font-size:13px;font-family:\"Arial\",sans-serif;text-align:justify;'\u003e\u003cspan style=\"font-size: 15px; line-height: 200%; font-family: Calibri, sans-serif;\"\u003e\u0026nbsp;\u003c/span\u003e\u003c/p\u003e"},{"header":"Discussion","content":"\u003cp\u003eUsing mixed methods design, this study tried to explore the barriers to the use of MWHs at Arba Minch Zuria District. Although all health centers in the study area have MWHs, the study revealed that only 8.4% of the participants used the service for their last pregnancy. The women\u0026rsquo;s economic status, decisions made jointly with male partners (husbands) for obstetric emergency, history of previous institutional childbirth, birth preparedness plan practice, history of previous childbirth complications, \u0026lt;2hrs travel distance to the nearest HI, and ease of access to transport in case of obstetric emergency were independent factors significantly associated with MWH use.\u003c/p\u003e\n\u003cp\u003eThe level of MWH use in agreement with a previous study in Jimma Zone, Western Ethiopia in 2016, where only 7% of the study participants had ever used MWHs [\u003cspan class=\"CitationRef\"\u003e34\u003c/span\u003e]. In rural and hard-to-reach areas, the WHO recommends bringing all pregnant mothers, particularly those who are at risk of childbirth complications, physically close to obstetric facilities. This study was based entirely on the rural area, with the findings showing that the current use of MHW services is very low [\u003cspan class=\"CitationRef\"\u003e35\u003c/span\u003e, \u003cspan class=\"CitationRef\"\u003e36\u003c/span\u003e]. This might be due to the low level of awareness regarding the importance and benefits of using MWH, inadequate referral from health posts where pregnant women get in contact with the health system, poor encouragement of pregnant women to make prior arrangements for MWH services during antenatal care as part of their personal birth preparedness plans, and the perceived poor condition of existing MWHs [\u003cspan class=\"CitationRef\"\u003e37\u003c/span\u003e].\u003c/p\u003e\n\u003cp\u003eThe findings from a study conducted in Zambia showed a 31.5% MWH utilization, which is higher than for the current study. This is probably because promotional and awareness-creation activities might have been done, apart from the routine care, as part of the Saving Mothers Giving Life project in the Zambian study. Moreover, one possible reason why a lower MWH use was recorded in the current study might have been because most MWHs are inaccessible due to the mountainous nature of the setting and lack of faster transport options [\u003cspan class=\"CitationRef\"\u003e38\u003c/span\u003e].\u003c/p\u003e\n\u003cp\u003eThis study showed that women in the lower wealth quintiles (1st and 2nd ) were more likely to use MWH services than those women in the highest (5th ) quantile. Similar findings have also been reported by studies conducted in Gurage zone, Central Ethiopia, Tanzania, Zambia and Malawi, all of which highlighted that poorer women were more likely to use MWH services than women in the wealthiest quintile [\u003cspan class=\"CitationRef\"\u003e14\u003c/span\u003e, \u003cspan class=\"CitationRef\"\u003e39\u003c/span\u003e\u0026ndash;\u003cspan class=\"CitationRef\"\u003e42\u003c/span\u003e]. The possible reason might be that staying in MWHs may be the only means the poorer women could access obstetric care and overcome delay in reaching the HIs as a result of exorbitant transportation cost and poor road condition. It is also likely that women from households in the lowest quintile had no choice than to stay in MWHs even though the existing MWHs are substandard. At the same time, the poor quality of MWHs service might have discouraged the richest women from utilizing the existing MWHs.\u003c/p\u003e\n\u003cp\u003eOn the contrary, a cross-sectional study conducted in Jimma Zone, Western Ethiopia reported that women from wealthier households were more likely to be MWH-users than the poorest women [\u003cspan class=\"CitationRef\"\u003e34\u003c/span\u003e], notwithstanding that the wealthy women (5th quintile) would likely have the economic means for emergency transport to the hospital once they went into labor. This result suggests that women in the wealthier quintiles can be encouraged to use MWHs as far as the problem related to the quality of service is resolved. Moreover, there is the need to upgrade the condition of the existing MWHs to a level suitable for women from different socioeconomic backgrounds.\u003c/p\u003e\n\u003cp\u003eThe current study also found that women who made decisions jointly with their husbands had higher odds of staying in MWHs compared to those women whose husbands alone took the decisions. This finding is also supported by the qualitative finding that most MWH users were accompanied and financially supported by their husbands. Also, MWH users explained that it would not be possible for a woman to stay in MWHs without a joint decision with the husband, as the woman is expected to leave the house for a longer period; the husband and other adult care-takers would have to take care of the home chores till the mother returns back home. A number of studies indicated that decisions made jointly with husbands/partners were associated with improved maternal health outcomes, including maternal service utilization [\u003cspan class=\"CitationRef\"\u003e43\u003c/span\u003e, \u003cspan class=\"CitationRef\"\u003e44\u003c/span\u003e]. This shows that household decision-making to seek obstetric care from the HIs, particularly to stay in MWHs, in collaboration with husbands, could increase the use of MWHs.\u003c/p\u003e\n\u003cp\u003eAnother factor which was statistically associated with use of MWH services was the practice of birth preparedness plan. The finding showed that even though staying at MWH is not a component of personalized birth preparedness plan, women who had prepared for birth and its possible complications were about 6.5 times more likely to use MWH services than those who had not [\u003cspan class=\"CitationRef\"\u003e5\u003c/span\u003e]. This is due to the fact that in rural areas like Arba Minch Zuria District, lack of transportation options and poor accessible roads are major hindrances to access to lifesaving obstetric care in case of emergency. As a result, those pregnant women who prepared to give birth at HIs preferred to stay at MWHs until they were due for childbirth. It is also likely that those women who practiced birth preparedness plan received enough counseling from the healthcare providers, which might include the use of MWH services. Hence, the inclusion of MWHs as a component of birth preparedness plan in the rural areas may be necessary.\u003c/p\u003e\n\u003cp\u003eBecause birth complications are unpredictable, pregnant women who are at a risk of complications related to childbirth are encouraged to use MWH services [\u003cspan class=\"CitationRef\"\u003e5\u003c/span\u003e]. Previous studies have reported that most intended MWH users had experienced previous childbirth complications [\u003cspan class=\"CitationRef\"\u003e40\u003c/span\u003e] or anticipated delivery complications and so needed to be close to HIs [\u003cspan class=\"CitationRef\"\u003e34\u003c/span\u003e]. The result of the present study is consistent with those of these previous studies, highlighting that those mothers who had experienced childbirth complications were more likely to use MWH services during the following pregnancy.\u003c/p\u003e\n\u003cp\u003eThis implies that women who have had birth complications may be afraid that they are at a risk of similar events during the following childbirth, so that they decide to be close to the HIs by staying at MWHs. On the contrary, one study carried out in Gurage Zone, Ethiopia reported that pregnancy complications were not statistically associated with the MWH utilization. This might be due to the differences in the study setting, as the current study was entirely based in a rural area, where the study population might not have had alternative means to overcome the second delay but to stay at MWH [\u003cspan class=\"CitationRef\"\u003e45\u003c/span\u003e].\u003c/p\u003e\n\u003cp\u003eEarlier studies have shown a significant association between the use of MWHs and an increase in facility delivery, antenatal and postnatal attendance [\u003cspan class=\"CitationRef\"\u003e16\u003c/span\u003e, \u003cspan class=\"CitationRef\"\u003e46\u003c/span\u003e, \u003cspan class=\"CitationRef\"\u003e47\u003c/span\u003e]. This result is somehow related to our finding that those women who had a history of previous health institutional childbirth were more likely to use MWHs than those who used to give birth outside the HIs. Women who have a history of previous health institutional childbirth (usually due to difficulty during labor) are likely to get adequate counseling and advice from skilled birth attendants if they stay at MWHs during their next pregnancies. Lessons the women learned from their past experiences might have informed their decisions to use the MWHs. The role of the health professionals in counseling the women may also be significant in this regard.\u003c/p\u003e\n\u003cp\u003eMWHs were established to bridge the geographic gap in accessing obstetric care in remote areas [\u003cspan class=\"CitationRef\"\u003e5\u003c/span\u003e]. However, our findings showed that those women residing in areas within 2 hours of walking distance to the nearest HI were more likely to use MWH service than those women whose homes were more than 2 hours of walking distance from the nearest HI. Similarly, those women who had easy access to transport in case of obstetric emergency were more likely to use MWH service than those women who had difficulty obtaining means of transport. A study conducted in rural Timor-Leste in 2007 also found a comparable result that women who lived within 5\u0026nbsp;km of the health centers were the group most likely to use MWHs [\u003cspan class=\"CitationRef\"\u003e48\u003c/span\u003e]. The potential barriers to the utilization of MWHs, including long distances and the unavailability of means of transport to and from the MWHs, could be the reason why women in remote areas are not motivated to come to MWHs. Moreover, women in remote areas may not have adequate information about the benefits of MWHs and the adverse consequences of home delivery [\u003cspan class=\"CitationRef\"\u003e38\u003c/span\u003e].\u003c/p\u003e\n\u003cp\u003eThis conveys a message to the concerned bodies to act urgently as women from remote and hard-to-reach areas, who are the supposed candidates of the MWHs, do not make use of the existing homes probably because of lack of awareness regarding MWHs, difficulty in accessing the homes because of geographical barriers, or total absence of contact with HIs. The results of the current study might be an indication that for improved MWH use, good infrastructure and awareness-creation campaigns are needed to attract women who reside in remote areas [\u003cspan class=\"CitationRef\"\u003e51\u003c/span\u003e]. This finding, however, does not corroborate the results of previous studies conducted in Zambia [\u003cspan class=\"CitationRef\"\u003e49\u003c/span\u003e], Gurage Zone, Ethiopia [\u003cspan class=\"CitationRef\"\u003e45\u003c/span\u003e], and Zimbabwe [\u003cspan class=\"CitationRef\"\u003e50\u003c/span\u003e], which found that women who stayed in MWHs were more likely to live further away from the nearest HIs.\u003c/p\u003e\n\u003cp\u003eThis study has two major limitations. First, since the study was cross-sectional, it cannot be proven beyond doubt that the identified factors are causal. Secondly, the women\u0026rsquo;s self-reported travel time estimates might not have accurately reflected the physical inaccessibility of the MWHs. Except for these limitations, the study used both quantitative and qualitative methods of data collection, which allowed the exploration of factors that a single method would have not been able to capture adequately and provided up-to-date evidence on the current level of MWH use and its associated factors in the study area.\u003c/p\u003e"},{"header":"Conclusions","content":"\u003cp\u003eA low proportion of women use MWHs in the study area. The socioeconomic status of women, joint decision making involving both the women and their partners, the degree of preparation for birth and possible complications, history of previous obstetric complication, history of previous health institutional childbirth, residence in areas within 2 hours of walking distance to the nearest HI, and ease of access to transport in case of obstetric emergency were the independent positive factors significantly associated with the use of MWHs.\u003c/p\u003e\n\u003cp\u003eStrategies to improve MWH utilization, including health promotion activities, are very crucial to increasing awareness about the importance of MWHs in the health system, thus enabling women to recognize danger signs during pregnancy and encouraging them to take an active role in household decision-making.\u003c/p\u003e\n\u003cp\u003eEfforts should be made to incorporate MWHs as part of personalized birth preparedness and complication readiness plans for women living very far away from HIs, and to upgrade the existing MWH services so that they are suited to women from all socioeconomic status. As the attitude of healthcare providers has implications for the initial and continued use of MHWs by pregnant women, taking advantage of all opportunities to address the women, especially when they visit the HIs, and counsel them on the importance of MWHs in client-oriented manner are highly recommended.\u003c/p\u003e"},{"header":"List Of Abbreviations","content":"\u003cp\u003eMWH\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp;\u0026nbsp; Maternity waiting home\u003c/p\u003e\n\u003cp\u003eHIs\u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; Health institutions\u003c/p\u003e\n\u003cp\u003eODK\u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; Open Data Kit\u003c/p\u003e\n\u003cp\u003eWHO\u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp; \u0026nbsp;World Health Organization\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003eEthics approval and consent to participate\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eEthical clearance was obtained from the Institutional Ethical Review Board of Arba Minch University. Written informed consent was obtained from each study participant; for those participants who were unable to read we obtained a thumbprint to continue with the interview. Since all the participants included in this study were 18 years old or more, consent from the parents/guardians of the minors was not required. Privacy and confidentiality of information were assured before obtaining the data. A formal letter of permission was obtained from the Arba Minch Zuria district health office.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConsent for publication\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eNot applicable\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAvailability of data and materials\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAll data generated during this study are included in this published article and its supplementary information files. The minimum data set is however available from the authors upon reasonable request and with the permission of Arba Minch University.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eCompeting interests\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe authors declare that they have no competing interests\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eFunding\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThis study was funded by Arba Minch University\u0026nbsp;(http://www.amu.edu.et) (grant number: GOV/AMU/TH/CMHS/PH/DSS/02/10). The funder played no role in the design of the study, data collection and analysis, interpretation of the data, and writing of the manuscript.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAuthors\u0026rsquo; contributions\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eMKG, YJ and VD conceptualized the study and supervised the data collection process. MKG and YJ led the analysis of the data presented in this paper. MKG prepared the draft manuscript, with substantial inputs from YJ, VD, JVG and BTG. All authors have reviewed and approved this final draft of the manuscript.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAcknowledgments\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eWe would like to thank Arba Minch University\u0026nbsp;for funding this study. We are very grateful to Arba Minch HDSS for providing a sampling frame which served as a base for data collection. We are also thankful to the participants for committing their time to be interviewed and providing information necessary for the study.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\n\u003cli\u003eWHO, UNICEF, UNFPA, And WBG, D. UNP. Trends in maternal mortality 2000 to 2017. Geneva:World Health Organization; 2019.\u003c/li\u003e\n\u003cli\u003eSay L, Chou D, Barbour K, Barreix M, Cecatti JG, Costa ML, et al. Maternal morbidity: Time for reflection, recognition, and action. Vol. 141, International Journal of Gynecology and Obstetrics. 2018. p. 1\u0026ndash;3.\u003c/li\u003e\n\u003cli\u003eLozano R, Wang H, Foreman KJ, Rajaratnam JK, Naghavi M, Marcus JR, et al. Progress towards Millennium Development Goals 4 and 5 on maternal and child mortality: An updated systematic analysis. Lancet. 2011;378(9797):1139\u0026ndash;65.\u003c/li\u003e\n\u003cli\u003eCentral Statistical Agency, ICF A. Ethiopia Demographic and Health Survey 2016. Addis Ababa, Ethiopia, and Rockville, Maryland, USA; 2016.\u003c/li\u003e\n\u003cli\u003eWorld Health Organization. WHO recommendations on health promotion interventions for maternal and newborn health 2015. 2015.\u003c/li\u003e\n\u003cli\u003eWHO. WHO RECOMMENDATIONS ON Maternal Health. World Heal Organ. 2017;(May):36.\u003c/li\u003e\n\u003cli\u003eSolnes Miltenburg A, Roggeveen Y, Roosmalen J, Smith H. Factors influencing implementation of interventions to promote birth preparedness and complication readiness. BMC Pregnancy Childbirth. 2017;17(1):1\u0026ndash;17.\u003c/li\u003e\n\u003cli\u003eThaddeus S, Maine D. Too far to walk: Maternal mortality in context. Soc Sci Med. 1994;38(8):1091\u0026ndash;110.\u003c/li\u003e\n\u003cli\u003eGeleto A, Chojenta C, Mussa A, Loxton D. Barriers to access and utilization of emergency obstetric care at health facilities in sub-Saharan Africa-a systematic review protocol. Syst Rev. 2018;7(1).\u003c/li\u003e\n\u003cli\u003eWHO. Esenstial elements of obstetric care at first referral level. 1991. p. 1\u0026ndash;42.\u003c/li\u003e\n\u003cli\u003eWHO. Maternity Waiting Homes: A review of experiences. Geneva WHO. 1996;96(21):1\u0026ndash;44.\u003c/li\u003e\n\u003cli\u003ePoovan P, Kifle F, Kwast BE. A maternity waiting home reduces obstetric catastrophes. World Health Forum. 1990;11(4):440\u0026ndash;5.\u003c/li\u003e\n\u003cli\u003eGaym A, Pearson L, Soe KWW. Maternity waiting homes in Ethiopia--three decades experience. Ethiop Med J. 2012;50(3):209\u0026ndash;19.\u003c/li\u003e\n\u003cli\u003eBraat F, Vermeiden T, Getnet G, Schiffer R, van den Akker T, Stekelenburg J. Comparison of pregnancy outcomes between maternity waiting home users and non-users at hospitals with and without a maternity waiting home: Retrospective cohort study. Int Health. 2018 Jan 1;10(1):47\u0026ndash;53.\u003c/li\u003e\n\u003cli\u003eKelly J, Kohls E, Poovan P, Schiffer R, Redito A, Winter H, et al. The role of a maternity waiting area (MWA) in reducing maternal mortality and stillbirths in high-risk women in rural Ethiopia. BJOG An Int J Obstet Gynaecol. 2010;117(11):1377\u0026ndash;83.\u003c/li\u003e\n\u003cli\u003eLori JR, Perosky J, Munro-Kramer ML, Veliz P, Musonda G, Kaunda J, et al. Maternity waiting homes as part of a comprehensive approach to maternal and newborn care: A cross-sectional survey. Vol. 19, BMC Pregnancy and Childbirth. BioMed Central Ltd.; 2019.\u003c/li\u003e\n\u003cli\u003eScott NA, Henry EG, Kaiser JL, Mataka K, Rockers PC, Fong RM, et al. Factors affecting home delivery among women living in remote areas of rural Zambia: a cross-sectional, mixed-methods analysis. Int J Womens Health. 2018;10:589\u0026ndash;601.\u003c/li\u003e\n\u003cli\u003eKurji J, Kulkarni MA, Gebretsadik LA, Wordofa MA, Morankar S, Bedru KH, et al. Effectiveness of upgraded maternity waiting homes and local leader training in improving institutional births among women in the Jimma zone, Ethiopia: Study protocol for a cluster-randomized controlled trial. Trials. 2019 Dec 4;20(1).\u003c/li\u003e\n\u003cli\u003eKyomuhendo GB. Low use of rural maternity services in Uganda: Impact of women\u0026rsquo;s status, traditional beliefs and limited resources. Reprod Health Matters. 2003;11(21):16\u0026ndash;26.\u003c/li\u003e\n\u003cli\u003eVan Lonkhuijzen L, Stekelenburg J, Van Roosmalen J. Maternity waiting facilities for improving maternal and neonatal outcome in low-resource countries. Cochrane Database of Systematic Reviews. 2009.\u003c/li\u003e\n\u003cli\u003eSialubanje C, Massar K, van der Pijl MSG, Kirch EM, Hamer DH, Ruiter RAC. Improving access to skilled facility-based delivery services: Women\u0026rsquo;s beliefs on facilitators and barriers to the utilisation of maternity waiting homes in rural Zambia. Reprod Health. 2015;12(1):61.\u003c/li\u003e\n\u003cli\u003eGirma M, Yaya Y, Gebrehanna E, Berhane Y, Lindtj\u0026oslash;rn B. Lifesaving emergency obstetric services are inadequate in south-west Ethiopia: A formidable challenge to reducing maternal mortality in Ethiopia. BMC Health Serv Res. 2013;13(1).\u003c/li\u003e\n\u003cli\u003eVermeiden T, Braat F, Medhin G, Gaym A, Akker T Van Den, Stekelenburg J. Factors associated with intended Maternity Waiting Home use in Southern Ethiopia. 2014.\u003c/li\u003e\n\u003cli\u003eMramba L, Nassir FA, Ondieki C, Kimanga D. Reasons for low utilization of a maternity waiting home in rural Kenya. Int J Gynecol Obstet. 2010;108(2):152\u0026ndash;3.\u003c/li\u003e\n\u003cli\u003eHaile D, Kondale M, Andarge E, Tunje A, Fikadu T, Boti N. Level of completion along continuum of care for maternal and child health services and factors associated with it among women in Arba Minch Zuria Woreda, Gamo Zone, Southern Ethiopia: a community based cross-sectional study. PLoS One. 2019;15(6):e0221670.\u003c/li\u003e\n\u003cli\u003eGurara M, Muyldermans K, Jacquemyn Y, Van geertruyden JP, Draulans V. Traditional birth attendants\u0026rsquo; roles and homebirth choices in Ethiopia: A qualitative study. Women and Birth. 2019;\u003c/li\u003e\n\u003cli\u003eAndarge E, Nigussie A, Wondafrash M. Factors associated with birth preparedness and complication readiness in Southern Ethiopia : a community based cross-sectional study. 2017;1\u0026ndash;13.\u003c/li\u003e\n\u003cli\u003eArifin WN. Introduction to sample size calculation. Educ Med J. 2013;5(2).\u003c/li\u003e\n\u003cli\u003eKurji J, Gebretsadik LA, Wordofa MA, Sudhakar M, Asefa Y, Kiros G, et al. Factors associated with maternity waiting home use among women in Jimma Zone, Ethiopia: A multilevel cross-sectional analysis. BMJ Open. 2019 Aug 1;9(8).\u003c/li\u003e\n\u003cli\u003eCentral Statistical Agency (CSA) [Ethiopia] and ICF. Ethiopian Demographic and Health Survey 2016. Addis Ababa, Ethiopia, and Rockville, Maryland, USA:CSA and ICF; 2016.\u003c/li\u003e\n\u003cli\u003eDebelew GT, Afework F, Yalew AW. Factors affecting birth preparedness and complication readiness in Jimma Zone, Southwest Ethiopia: A multilevel analysis. Pan Afr Med J. 2014;19:1\u0026ndash;14.\u003c/li\u003e\n\u003cli\u003eRoxana C. Del Barco. Monitoring Birth Preparedness and Complication Readiness Tools and Indicators for maternal and newborn health. 2004.\u003c/li\u003e\n\u003cli\u003eKaso M, Addisse M. Birth preparedness and complication readiness in Robe Woreda, Arsi Zone, Oromia Region, Central Ethiopia: A cross-sectional study. Reprod Health. 2014;11(1):1\u0026ndash;12.\u003c/li\u003e\n\u003cli\u003eKurji J, Gebretsadik LA, Wordofa MA, Sudhakar M, Asefa Y, Kiros G, et al. Factors associated with maternity waiting home use among women in Jimma Zone, Ethiopia: A multilevel cross-sectional analysis. BMJ Open. 2019;9(8):1\u0026ndash;9.\u003c/li\u003e\n\u003cli\u003eLee ACC, Lawn JE, Cousens S, Kumar V, Osrin D, Bhutta ZA, et al. Linking families and facilities for care at birth: What works to avert intrapartum-related deaths? Int J Gynecol Obstet. 2009;107(SUPPL.).\u003c/li\u003e\n\u003cli\u003eSingh K, Speizer I, Kim ET, Lemani C, Phoya A. Reaching vulnerable women through maternity waiting homes in Malawi. Int J Gynaecol Obstet. 2017;136(1):91\u0026ndash;7.\u003c/li\u003e\n\u003cli\u003eLori JR, Boyd CJ, Munro-Kramer ML, Veliz PT, Henry EG, Kaiser J, et al. Characteristics of maternity waiting homes and the women who use them: Findings from a baseline cross-sectional household survey among SMGL-supported districts in Zambia. PLoS One. 2018;13(12):e0209815.\u003c/li\u003e\n\u003cli\u003eKebede KM, Mihrete KM. Factors influencing women\u0026rsquo;s access to the maternity waiting home in rural Southwest Ethiopia: a qualitative exploration. BMC Pregnancy Childbirth. 2020 Dec 14;20(1):296.\u003c/li\u003e\n\u003cli\u003eSialubanje C, Massar K, Hamer DH, C Ruiter RA, Ruiter RAC. Personal and environmental factors associated with the utilisation of maternity waiting homes in rural Zambia. BMC Pregnancy Childbirth. 2017;17(1):1\u0026ndash;15.\u003c/li\u003e\n\u003cli\u003eVermeiden T, Braat F, Medhin G, Gaym A, van den Akker T, Stekelenburg J. Factors associated with intended use of a maternity waiting home in Southern Ethiopia: a community-based cross-sectional study. BMC Pregnancy Childbirth. 2018;18(1):38.\u003c/li\u003e\n\u003cli\u003eFogliati P, Straneo M, Mangi S, Azzimonti G, Kisika F, Putoto G. A new use for an old tool: Maternity waiting homes to improve equity in rural childbirth care. Results from a cross-sectional hospital and community survey in Tanzania. Health Policy Plan. 2017;32(10):1354\u0026ndash;60.\u003c/li\u003e\n\u003cli\u003eSingh K, Speizer IS, Kim ET, Lemani C, Tang JH, Phoya A. Evaluation of a maternity waiting home and community education program in two districts of Malawi. BMC Pregnancy Childbirth. 2018;18(1):457.\u003c/li\u003e\n\u003cli\u003eEshete A, Adissu Y. Women\u0026rsquo;s Joint Decision on Contraceptive Use in Gedeo Zone, Southern Ethiopia: A Community Based Comparative Cross-Sectional Study. Int J Family Med. 2017;2017:1\u0026ndash;9.\u003c/li\u003e\n\u003cli\u003eGhose B, Feng D, Tang S, Yaya S, He Z, Udenigwe O, et al. Women\u0026rsquo;s decision-making autonomy and utilisation of maternal healthcare services: Results from the Bangladesh Demographic and Health Survey. BMJ Open. 2017;7(9):1\u0026ndash;8.\u003c/li\u003e\n\u003cli\u003eGetachew B, Liabsuetrakul T, Gebrehiwot Y. Association of maternity waiting home utilization with women\u0026rsquo;s perceived geographic barriers and delivery complications in Ethiopia. Int J Health Plann Manage. 2020 Jan 1;35(1):e96\u0026ndash;107.\u003c/li\u003e\n\u003cli\u003eHenry EG, Semrau K, Hamer DH, Vian T, Nambao M, Mataka K, et al. The influence of quality maternity waiting homes on utilization of facilities for delivery in rural Zambia. Reprod Health. 2017 May 30;14(1):(30 May 2017).\u003c/li\u003e\n\u003cli\u003eLori JR, Munro ML, Rominski S, Williams G, Dahn BT, Boyd CJ, et al. Maternity waiting homes and traditional midwives in rural Liberia. Int J Gynecol Obstet. 2013;123(2):114\u0026ndash;8.\u003c/li\u003e\n\u003cli\u003eWild K, Barclay L, Kelly P, Martins N. The tyranny of distance: Maternity waiting homes and access to birthing facilities in rural Timor-Leste. Bull World Health Organ. 2012;90(2):97\u0026ndash;103.\u003c/li\u003e\n\u003cli\u003eVan Lonkhuijzen L, Stegeman M, Nyirongo R, Van Roosmalen J. Use of Maternity Waiting Home in Rural Zambia. Afr J Reprod Health. 2003;7(1):32\u0026ndash;6.\u003c/li\u003e\n\u003cli\u003eChandramohan D, Cutts F, Millard P. The effect of stay in a maternity waiting home on perinatal mortality in rural Zimbabwe. J Trop Med Hyg. 1995 Aug;98(4):261\u0026ndash;7.\u003c/li\u003e\n\u003cli\u003eBergen N, Abebe L, Asfaw S, Kiros G, Kulkarni MA, Mamo A, et al. Maternity waiting areas\u0026ndash;serving all women? Barriers and enablers of an equity-oriented maternal health intervention in Jimma Zone, Ethiopia. Glob Public Health. 2019;14(10):1509\u0026ndash;23.\u003c/li\u003e\n\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"reproductive-health","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"reph","sideBox":"Learn more about [Reproductive Health](http://reproductive-health-journal.biomedcentral.com)","snPcode":"12978","submissionUrl":"https://submission.nature.com/new-submission/12978/3","title":"Reproductive Health","twitterHandle":"@Reprod_Health","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"em","reportingPortfolio":"BMC/SO AJ","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"maternity waiting home, Ethiopia, birth preparedness plan, access, logistic barriers, low-income, pregnancy, maternal health. ","lastPublishedDoi":"10.21203/rs.3.rs-79351/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-79351/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eBackground\u003c/strong\u003e: In rural areas of Ethiopia, 57% of births occur at home without the assistance of skilled birth attendants, geographical inaccessibility being one of the main factors that hinder skilled birth attendance. Establishment of maternity waiting homes (MWH) is part of a strategy to improve access to skilled care by bringing pregnant women physically close to health facilities. This study assessed barriers to MWHs in Arba Minch Zuria District, Southern Ethiopia. \u003c/p\u003e\u003cp\u003e\u003cstrong\u003eMethods\u003c/strong\u003e: A community-based cross-sectional study was undertaken from February 01 to 30, 2019. Study participants were selected by computer-generated random numbers from a list of women who\u0026nbsp;\u0026nbsp;gave birth from 2017 to 2018 in Arba Minch Health and Demographic Surveillance System site. Data were collected using a pre-tested and interviewer-administered questionnaire. STATA statistical software version-15 was used for data analysis, and variables with p-values ≤0.25 in bivariate analysis were considered for multivariable logistic regression analysis. Level of statistical significance was declared at a -value \u0026lt;0.05. Qualitative data were analyzed manually based on thematic areas.\u003c/p\u003e\u003cp\u003e\u003cstrong\u003eResults\u003c/strong\u003e: MWH utilization was found to be 8.4%. Wealth index (lowest wealth quintile aOR 7.3; 95% CI 1.2, 42), decisions made jointly with male partners (husbands) for obstetric emergencies (aOR 3.6; 95% CI 1.0, 12), birth preparedness plan practice (aOR 6.5; 95% CI 2.3, 18.2), complications in previous childbirth (aOR 3; 95%\u0026nbsp;1.0, 9), history of previous institutional childbirth (aOR 12; 95% CI 3.8, 40), residence in areas within two hours walking distance to the nearest health facility (aOR 3.3; 95% CI: 1.4, 7.7), and ease of access to transport in obstetric emergencies (aOR 8.8; 95% CI: 3.9, 19) were factors that showed significant associations with MWH utilization.\u003c/p\u003e\u003cp\u003e\u003cstrong\u003eConclusions\u003c/strong\u003e: A low proportion of women has ever used MWHs in the study area. To increase MWH utilization, promoting birth preparedness practices, incorporating MWH as part of a personalized birth plan, improving access to health institutions for women living far away and upgrading existing MWHs are highly recommended.\u003c/p\u003e","manuscriptTitle":"Maternity waiting homes as component of birth preparedness and complication readiness for rural women in hard-to-reach areas in Ethiopia","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2020-09-30 22:03:29","doi":"10.21203/rs.3.rs-79351/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Minor revision","date":"2020-11-06T00:00:00+00:00","index":"","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2020-10-31T00:00:00+00:00","index":1,"fulltext":"Recommendation: Accept\nForm responses:\n---\n\nComments to Author:\n---\nThis. is an excellent article. It is very well written and the research methods are sound, leading to appropriate conclusions. The background literature cited is relevant and appropriate and the rationale for the study is well described. It would have been of additional interest if you could have included data concerning how many of the women who used the waiting homes actually stayed there until they delivered, given the problems raised by some of your informants about having to go home to get food and the lack of available food or cooking facilities at the site of the waiting home. It would also be of interest to understand how many days the women who stayed in the home remained there. Alternatively you could have asked those who didn't a question regarding how many days they felt would be acceptable to wait in a home. I think the conclusion could be enriched somewhat by a reference to the need to improve the availability of food and cooking facilities in the homes specifically, and also some consideration of the linkages to nearby birth facilities and whether the midwives visit the home to check on the women. But nevertheless, this is an excellent article worthy of publication.* Publons Reviewer Recognition. Springer Nature can send verification of this review directly to Publons (a subsidiary of Clarivate Analytics). If you would like to take advantage of this service, please click on the “Yes” option below. Your name, email address, title of the reviewed manuscript, name of the journal, and date of your review submission (the “Review Data”) will then be transmitted to Publons upon publication of the manuscript. If you have already registered at Publons, they will notify you of the receipt of this review and update your profile as per your settings and their policy. If you are not registered with Publons, you will receive an email from them asking you to register in order for them to be able to recognize your review on your new profile page. Publons may use the Review Data to generate derivative metadata for the benefit of Publons and you as a reviewer, carefully considering the sensitivity of such information. For example, Publons may verify your record as a reviewer by updating your profile published on its webservice if you have registered for such service or help editors to identify candidate reviewers. Please find the details of processing in Publons’ privacy policy https://publons.com/about/terms: **No**\n* Level of interest: **An article of importance in its field**\n* Quality of written English: **Acceptable**\n* Declaration of competing interests: **I declare that I have no competing interests**\n* I agree to the open peer review policy of the journal. I understand that my name will be included on my report to the authors and, if the manuscript is accepted for publication, my named report including any attachments I upload will be posted on the website along with the authors' responses. I agree for my report to be made available under an Open Access Creative Commons CC-BY license (http://creativecommons.org/licenses/by/4.0/). I understand that any comments which I do not wish to be included in my named report can be included as confidential comments to the editors, which will not be published.: **\nI agree to the open peer review policy of the journal**\n"},{"type":"editorInvitedReview","content":"","date":"2020-10-31T00:00:00+00:00","index":2,"fulltext":"Recommendation: Major Revision\nForm responses:\n---\n\nComments to Author:\n---\nThis manuscript explores the important question of why MWH utilization remains low when we know they work. Using a cross-sectional design with both surveys and interviews, they explore the factors associated with MWH utilization. The authors found low MWH utilization in general. MWH utilization was associated with being in a higher wealth quintile, making decisions with a husband, birth preparedness, and residing closer to the health facility. Qualitative results showed that pregnant women believe the substandard quality of the MWH to low utilization.\n\nThis study confirms prior work regarding the barriers to MWH utilization. While these studies may not have taken place in the same catchment area in Ethiopia, the factors associated with MWH utilization uncovered here are the same as in many other studies.\n\nMajor comments: \n1. A cross-sectional approach limits how the conclusions that can be made regarding causality, which the authors readily acknowledge.I remain concerned about how confounding is addressed in this manuscript. It would be good to see a table with explanatory variables that are significant in an unadjusted model, and then which ones remain significant in an adjusted model, along of a clear explanation of which covariates are included in said model. I have particular concerns about collinearity in this context (for example, between history of previous institutional childbirth and history of previous childbirth complication), and I would like to see how the authors addressed this.\n2. The dates for the study are wrong (in 2019, February was 2/1 to 2/28).\n3. The sample for this study is of a decent size and seems to be representative of the population of interest (poor, rural pregnant women). However, if author argument that the study is important because barriers to utilization have not been studied in their specific context, this would render any results less generalizable outside of that context.\n4. Significance - In the introduction, the authors imply that birth preparedness is going to be the central part of the manuscript, rather than an exploration of many factors. The question of barriers to MWH utilization, while important, has already been answered. The authors may want to focus more on birth preparedness, especially through qualitative data. \n\nMinor comments:\n5. This manuscript is generally well-written. However, Figure 1 is not well labeled or organized, and it is difficult to make sense of what the reader is looking at without referring back to the text.\n* Publons Reviewer Recognition. Springer Nature can send verification of this review directly to Publons (a subsidiary of Clarivate Analytics). If you would like to take advantage of this service, please click on the “Yes” option below. 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I understand that any comments which I do not wish to be included in my named report can be included as confidential comments to the editors, which will not be published.: **\nI agree to the open peer review policy of the journal**\n"},{"type":"reviewerAgreed","content":"","date":"2020-10-13T12:00:00+00:00","index":1,"fulltext":""},{"type":"reviewerAgreed","content":"","date":"2020-10-13T12:00:00+00:00","index":2,"fulltext":""},{"type":"reviewersInvited","content":"","date":"2020-10-12T12:00:00+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2020-10-01T12:00:00+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"","date":"2020-09-30T12:00:00+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2020-09-28T12:00:00+00:00","index":"","fulltext":""},{"type":"submitted","content":"","date":"2020-09-25T12:00:00+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"reproductive-health","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"reph","sideBox":"Learn more about [Reproductive Health](http://reproductive-health-journal.biomedcentral.com)","snPcode":"12978","submissionUrl":"https://submission.nature.com/new-submission/12978/3","title":"Reproductive Health","twitterHandle":"@Reprod_Health","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"em","reportingPortfolio":"BMC/SO AJ","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"ffb74341-ffd1-4316-96c7-16ce7b827535","owner":[],"postedDate":"September 30th, 2020","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[{"id":658658,"name":"Sexual \u0026 Reproductive Medicine"},{"id":658659,"name":"Maternal \u0026 Fetal Medicine"}],"tags":[],"updatedAt":"2021-02-07T15:03:33+00:00","versionOfRecord":{"articleIdentity":"rs-79351","link":"https://doi.org/10.1186/s12978-021-01086-y","journal":{"identity":"reproductive-health","isVorOnly":false,"title":"Reproductive Health"},"publishedOn":"2021-02-02 15:02:12","publishedOnDateReadable":"February 2nd, 2021"},"versionCreatedAt":"2020-09-30 22:03:29","video":"","vorDoi":"10.1186/s12978-021-01086-y","vorDoiUrl":"https://doi.org/10.1186/s12978-021-01086-y","workflowStages":[]},"version":"v1","identity":"rs-79351","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-79351","identity":"rs-79351","version":["v1"]},"buildId":"wLkW0s4AflPzk-lpfg-fK","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}