For many women in rural Ethiopia, giving birth safely requires careful planning. Long distances, limited roads and transport, and a shortage of health facilities mean that accessing pre and postnatal care—or reaching skilled help during labour—can be extremely difficult.
Maternity Waiting Homes are a proven solution to this challenge. Located in health centres and near hospitals, these government-supported facilities in Ethiopia enable women in the final weeks of pregnancy to stay close to skilled care. As part of Hamlin Fistula Ethiopia’s prevention strategy we are also building new Maternity Waiting Homes in Hamlin-supported midwifery clinics.
By reducing delays in accessing treatment, Maternity Waiting Homes play a vital role in preventing maternal deaths and birth-related injuries, including obstetric fistula.
These homes provide more than shelter. Women receive regular health check-ups, education about pregnancy and childbirth, and practical support such as bedding, sanitation facilities, and, in some locations, meals. Just as importantly, they offer reassurance, safety and community during a vulnerable time.
Tani is currently staying at a Ladies in Waiting facility in Hamlin-supported midwifery clinic in Gorche. As a first-time mother, she chose to stay close to care as her due date approaches.

Tani’s story
My name is Tani. I live in Gorche, I am 24 years old, and this is my first pregnancy.
This Hamlin-supported midwifery clinic is the closest one to my village. My pregnancy was confirmed here, and the Hamlin midwife explained what to expect and how to look after myself and my baby.
She encouraged me to attend regular check-ups and helped me understand why they are important—for my baby’s health and for my own safety.
Because this is my first pregnancy, I was worried about what might happen during labour. The midwife explained the risks of giving birth at home and why skilled care is so important.
Staying here has helped ease my fear. I know that when labour begins, the midwife will be nearby to help me deliver safely.
The other mothers here share their stories, and that makes me feel less alone. We talk about our hopes and fears and support each other while we wait.
Many of us live far from health services and face risks like anaemia or other complications. Being here makes us feel protected.