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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

Journal Article
(Published April, 2019)
Noh, J.W. (Author),
Kim, Y.M. (Author),
Lee, L.J. (Author),
Akram, N. (Author),
Shahid, F. (Author),
Kwon, Y.D. (Author),
Stekelenburg, J. (Author)
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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

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Noh JW, Kim YM, Akram N, Yoo KB, Cheon J, Lee LJ, et al. 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. International journal of environmental research and public health. 2019;16(6). Epub 2019/03/17. doi: 10.3390/ijerph16060932. PubMed PMID: 30875876; PubMed Central PMCID: PMCPMC6466183