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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

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...

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Autores principales: Noh, Jin-Won, Kim, Young-mi, Akram, Nabeel, Yoo, Ki-Bong, Cheon, Jooyoung, Lee, Lena J., Kwon, Young Dae, Stekelenburg, Jelle
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6466183/
https://www.ncbi.nlm.nih.gov/pubmed/30875876
http://dx.doi.org/10.3390/ijerph16060932
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author Noh, Jin-Won
Kim, Young-mi
Akram, Nabeel
Yoo, Ki-Bong
Cheon, Jooyoung
Lee, Lena J.
Kwon, Young Dae
Stekelenburg, Jelle
author_facet Noh, Jin-Won
Kim, Young-mi
Akram, Nabeel
Yoo, Ki-Bong
Cheon, Jooyoung
Lee, Lena J.
Kwon, Young Dae
Stekelenburg, Jelle
author_sort Noh, Jin-Won
collection PubMed
description 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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spelling pubmed-64661832019-04-22 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 Int J Environ Res Public Health Article 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. MDPI 2019-03-15 2019-03 /pmc/articles/PMC6466183/ /pubmed/30875876 http://dx.doi.org/10.3390/ijerph16060932 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
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
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6466183/
https://www.ncbi.nlm.nih.gov/pubmed/30875876
http://dx.doi.org/10.3390/ijerph16060932
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