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

Jin-Won Noh, Young-mi Kim, Nabeel Akram, Ki-Bong Yoo, Jooyoung Cheon, Lena J. Lee, Young Dae Kwon and Jelle Stekelenburg
Additional contact information
Jin-Won Noh: Department of Healthcare Management, Eulji University, Seongnam 13135, Korea
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

IJERPH, 2019, vol. 16, issue 6, 1-10

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.

Keywords: maternal-child health; socio-economic factor; health information source; place of birth; Pakistan (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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