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Int. J. Environ. Res. Public Health 2019, 16(6), 932; https://doi.org/10.3390/ijerph16060932

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

1
Department of Healthcare Management, Eulji University, Seongnam 13135, Korea
2
Global Health Unit, Department of Health Sciences, University Medical Centre Groningen, University of Groningen, Groningen 9713 GZ, The Netherlands
3
Jhpiego, Johns Hopkins University, Baltimore, MD 21231, USA
4
Department of Health Administration, Department of Information & Statistics, Yonsei University, Wonju 26493, Korea
5
Department of Nursing Science, Sungshin University, Seoul 01133, Korea
6
National Institutes of Health Clinical Center, Bethesda, MD 20892, USA
7
Department of Humanities and Social Medicine, College of Medicine and Catholic Institute for Healthcare Management, The Catholic University of Korea, Seoul 06591, Korea
8
Department of Obstetrics and Gynecology, Medical Centre Leeuwarden, Leeuwarden 8934 AD, The Netherlands
*
Author to whom correspondence should be addressed.
Received: 19 February 2019 / Revised: 11 March 2019 / Accepted: 12 March 2019 / Published: 15 March 2019
(This article belongs to the Special Issue Women's Reproductive and Maternal Health)
Full-Text   |   PDF [284 KB, uploaded 15 March 2019]

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. View Full-Text
Keywords: maternal-child health; socio-economic factor; health information source; place of birth; Pakistan maternal-child health; socio-economic factor; health information source; place of birth; Pakistan
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Noh, J.-W.; Kim, Y.-M.; Akram, N.; Yoo, K.-B.; Cheon, J.; Lee, L.J.; Kwon, Y.D.; Stekelenburg, J. 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. Int. J. Environ. Res. Public Health 2019, 16, 932.

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