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Impact of Socio-Economic Factors and Health Information Sources on Place of Birth in Sindh Province, Pakistan: A Secondary Analysis of Cross-Sectional Survey Data

Author

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  • Jin-Won Noh

    (Department of Healthcare Management, Eulji University, Seongnam 13135, Korea
    Global Health Unit, Department of Health Sciences, University Medical Centre Groningen, University of Groningen, Groningen 9713 GZ, The Netherlands)

  • Young-mi Kim

    (Jhpiego, Johns Hopkins University, Baltimore, MD 21231, USA)

  • Nabeel Akram

    (Jhpiego, Johns Hopkins University, Baltimore, MD 21231, USA)

  • Ki-Bong Yoo

    (Department of Health Administration, Department of Information & Statistics, Yonsei University, Wonju 26493, Korea)

  • Jooyoung Cheon

    (Department of Nursing Science, Sungshin University, Seoul 01133, Korea)

  • Lena J. Lee

    (National Institutes of Health Clinical Center, Bethesda, MD 20892, USA)

  • Young Dae Kwon

    (Department of Humanities and Social Medicine, College of Medicine and Catholic Institute for Healthcare Management, The Catholic University of Korea, Seoul 06591, Korea)

  • Jelle Stekelenburg

    (Global Health Unit, Department of Health Sciences, University Medical Centre Groningen, University of Groningen, Groningen 9713 GZ, The Netherlands
    Department of Obstetrics and Gynecology, Medical Centre Leeuwarden, Leeuwarden 8934 AD, The Netherlands)

Abstract

Medical facility birth with skilled birth attendance is essential to reduce maternal mortality. The purpose of this study was to assess the demographic characteristics, socio-economic factors, and varied health information sources that may influence the uptake of birth services in Pakistan. We used pooled data from Maternal-Child Health Program Indicator Survey 2013 and 2014. Study population was 9719 women. Generalized linear model with log link and a Poisson distribution was used to identify factors associated with place of birth. 3403 (35%) women gave birth at home, and 6316 (65%) women gave birth at a medical facility. After controlling for all covariates, women’s age, number of children, education, wealth, and mother and child health information source (doctors and nurses/midwives) were associated with facility births. Women were significantly less likely to give birth at a medical facility if they received maternal-child health information from low-level health workers or relatives/friends. The findings suggest that interventions should target disadvantaged and vulnerable groups of women after considering rural-urban differences. Training non-health professionals may help improve facility birth. Further research is needed to examine the effect of individual information sources on facility birth, both in urban and rural areas in Pakistan.

Suggested Citation

  • Jin-Won Noh & Young-mi Kim & Nabeel Akram & Ki-Bong Yoo & Jooyoung Cheon & Lena J. Lee & Young Dae Kwon & Jelle Stekelenburg, 2019. "Impact of Socio-Economic Factors and Health Information Sources on Place of Birth in Sindh Province, Pakistan: A Secondary Analysis of Cross-Sectional Survey Data," IJERPH, MDPI, vol. 16(6), pages 1-10, March.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:6:p:932-:d:214078
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    References listed on IDEAS

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    1. Sanni Yaya & Ghose Bishwajit & Michael Ekholuenetale, 2017. "Factors associated with the utilization of institutional delivery services in Bangladesh," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-14, February.
    2. Ghulam Mustafa Zahid, 1996. "Mother’s Health-seeking Behaviour and Childhood Mortality in Pakistan," The Pakistan Development Review, Pakistan Institute of Development Economics, vol. 35(4), pages 719-731.
    3. Tesfaye Regassa Feyissa & Gebi Agero Genemo, 2014. "Determinants of Institutional Delivery among Childbearing Age Women in Western Ethiopia, 2013: Unmatched Case Control Study," PLOS ONE, Public Library of Science, vol. 9(5), pages 1-7, May.
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    1. Muhammad Shahid & Waqar Ameer & Najma Iqbal Malik & Muhammad Babar Alam & Farooq Ahmed & Madeeha Gohar Qureshi & Huiping Zhao & Juan Yang & Sidra Zia, 2022. "Distance to Healthcare Facility and Lady Health Workers’ Visits Reduce Malnutrition in under Five Children: A Case Study of a Disadvantaged Rural District in Pakistan," IJERPH, MDPI, vol. 19(13), pages 1-13, July.
    2. Jin-Won Noh & Young-mi Kim & Nabeel Akram & Ki-Bong Yoo & Jooyoung Cheon & Lena J. Lee & Young Dae Kwon & Jelle Stekelenburg, 2019. "Factors Affecting Breastfeeding Practices in Sindh Province, Pakistan: A Secondary Analysis of Cross-Sectional Survey Data," IJERPH, MDPI, vol. 16(10), pages 1-10, May.

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