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, Jelle Stekelenburg

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
JournalInternational journal of environmental research and public health
Volume16
Issue number6
DOIs
StatePublished - Mar 15 2019

Fingerprint

Pakistan
Cross-Sectional Studies
Economics
Parturition
Health
Poisson Distribution
Nurse Midwives
Maternal Mortality
Vulnerable Populations
Health Status
Linear Models
Mothers
Demography
Education

Keywords

  • health information source
  • maternal-child health
  • Pakistan
  • place of birth
  • socio-economic factor

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

Cite this

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. / Noh, Jin Won; Kim, Young-MI; Akram, Nabeel; Yoo, Ki Bong; Cheon, Jooyoung; Lee, Lena J.; Kwon, Young Dae; Stekelenburg, Jelle.

In: International journal of environmental research and public health, Vol. 16, No. 6, 15.03.2019.

Research output: Contribution to journalArticle

Noh, Jin Won ; Kim, Young-MI ; Akram, Nabeel ; Yoo, Ki Bong ; Cheon, Jooyoung ; Lee, Lena J. ; Kwon, Young Dae ; Stekelenburg, Jelle. / 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. In: International journal of environmental research and public health. 2019 ; Vol. 16, No. 6.
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