SEARCHCROSS-SECTIONALpublic health, epidemiology

cross-sectional·public health, epidemiology, obstetrics and gynecology, family medicine·PMC10653445

Factors associated with maternal health services utilization in Pakistan: Evidence from Pakistan maternal mortality survey, 2019

PLOS ONE · 11 authors, 2 centres

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TL;DR

Using data from the 2019 Pakistan Maternal Mortality Survey, this cross-sectional study applied binary logistic regression to examine sociodemographic factors associated with ideal antenatal care (IANC) and skilled birth attendance (SBA) utilization. Wealth was the strongest predictor of both outcomes, with women in the highest quintile having over 11-fold higher odds of IANC use and over 4-fold higher odds of SBA use compared to the lowest quintile.

Full summary

502 CHARS

This study used data from the Pakistan Maternal Mortality Survey 2019, a nationally representative population-based survey, to investigate factors associated with ideal antenatal care (IANC) and skilled birth attendance (SBA) using binary logistic regression. The IANC definition encompassed comprehensive services including medical check-ups, laboratory tests, and provider communication. Only 20.5% of women received IANC overall. Urban residency was not significantly associated with either outcome.

STUDY TYPE

cross-sectional

SPECIALTY

public health

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AI pipeline

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100% · A

ORIGINAL PAPER

PMC10653445

Factors associated with maternal health services utilization in Pakistan: Evidence from Pakistan maternal mortality survey, 2019

PLOS ONE

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ABSTRACT

Abstract Background This study investigates the factors associated with maternal health services utilization in Pakistan using two outcome indicators, ideal antenatal care (IANC), defined as the pregnant woman receiving all the essential services included in standard antenatal care, and skilled birth attendance (SBA). Methods This study used the Pakistan Maternal Mortality Survey 2019 data. The study utilized binary logistic regression models to investigate the adjusted association between the outcome variables, separately for IANC and SBA, and the independent variables, education, wealth, parity, and residence. Results Wealth showed a positive association with utilization of IANC (adjusted odds ratio [AOR] = 11.48, 95% CI = 7.76, 16.99) and SBA (AOR = 4.37, 95% CI = 3.30,5. 80). Maternal age was associated only with IANC for women aged 35 or more years (AOR = 1.31, 95% CI = 1.06, 1.62). Increased likelihood of utilization of IANC and SBA services was also observed for women with formal education. Women who had 3–5 previous live births had higher odds of using IANC and SBA than women who had 1–2 or more than five previous live births. Urban residency was not correlated with either IANC or SBA. Conclusion When compared to the wealthy and educated quintile, women in the lower wealth quintile and those without any formal education were less likely to utilize ANC and SBA services. A comprehensive and multipronged approach from the health and education sectors is needed to improve maternal health in Pakistan.

CITATION EXPORT

Farid Midhet, Mubashir Hanif, Samina Naeem Khalid et al.. Factors associated with maternal health services utilization in Pakistan: Evidence from Pakistan maternal mortality survey, 2019. PLOS ONE. (2023). https://doi.org/10.1371/journal.pone.0294225

AUTHORS

11 · 2 CENTRES

Farid Midhet, Mubashir Hanif, Samina Naeem Khalid, Raheel Shahab Khan, Ikhlaq Ahmad, Shahzad Ali Khan, Syed Khurram Azmat, Syed Khurram Azmat, Syed Khurram Azmat, Syed Khurram Azmat, Syed Khurram Azmat

1Health Services Academy, Islamabad, Pakistan
2Marie Stopes International, PAKISTAN