Determinants of maternal health care services utilization in Pakistan: evidence from Pakistan demographic and health survey, 2012-13

The aim of this study was to determine the association between maternal utilisation of health-care services and socio-demographic factors among reproductive-age women in Pakistan. We used the sample of ever-married reproductive-age women (n = 7446) from the Pakistan Demographic and Health Survey (PD...

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Bibliographic Details
Published in:Journal of obstetrics and gynaecology 2017-04, Vol.37 (3), p.330-337
Main Authors: Zakar, Rubeena, Zakar, Muhammad Zakria, Aqil, Nauman, Chaudhry, Ashraf, Nasrullah, Muazzam
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age Factors
antenatal care
Childbirth & labor
Delivery, Obstetric - statistics & numerical data
demographic and health survey
facility-based delivery
Female
Health Knowledge, Attitudes, Practice
Health Services Accessibility
Health Surveys
Humans
Maternal & child health
Maternal health care
Middle Aged
Pakistan
Pregnancy
Prenatal Care - utilization
skilled birth assistance
Socioeconomic Factors
Women's Health
Young Adult
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Summary:The aim of this study was to determine the association between maternal utilisation of health-care services and socio-demographic factors among reproductive-age women in Pakistan. We used the sample of ever-married reproductive-age women (n = 7446) from the Pakistan Demographic and Health Survey (PDHS), 2012-13. We measured maternal utilisation of health-care services by using three dependent variables: number of antenatal care (ANC) visits, delivery assistance by a skilled health provider, and delivery in a health-care facility. Around 36.6% of women had made four or more ANC visits, 59% had received assistance from skilled health providers during delivery, and 55.3% had given birth in a health-care facility. On multivariable logistic regression, all three variables were positively associated with education and wealth, and negatively associated with birth order and women's autonomy. Policymakers and health planners may use our findings to develop efficient strategies, particularly for uneducated women and those with poor economic status, to improve the utilisation of maternal health-care services in Pakistan.
ISSN:0144-3615
1364-6893
DOI:10.1080/01443615.2016.1250728