Factors associated with maternal health services utilization in Pakistan: Evidence from Pakistan maternal mortality survey, 2019.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2023
2023
Historique:
received:
10
11
2022
accepted:
30
10
2023
medline:
27
11
2023
pubmed:
17
11
2023
entrez:
16
11
2023
Statut:
epublish
Résumé
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). 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. 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. 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.
Sections du résumé
BACKGROUND
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
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
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
CONCLUSIONS
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.
Identifiants
pubmed: 37972097
doi: 10.1371/journal.pone.0294225
pii: PONE-D-22-31027
pmc: PMC10653445
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0294225Informations de copyright
Copyright: © 2023 Midhet et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Int J Equity Health. 2011 Nov 30;10:57
pubmed: 22129437
PLoS One. 2019 Feb 1;14(2):e0211576
pubmed: 30707736
Soc Sci Med. 1994 Apr;38(8):1091-110
pubmed: 8042057
Health Policy Plan. 2013 Mar;28(2):134-42
pubmed: 22437506
Lancet. 2016 Oct 8;388(10053):1775-1812
pubmed: 27733286
Lancet Glob Health. 2018 Nov;6(11):e1186-e1195
pubmed: 30322649
Matern Child Health J. 2016 Aug;20(8):1726-34
pubmed: 27194528
Cochrane Database Syst Rev. 2015 Jul 16;(7):CD000934
pubmed: 26184394
BMC Public Health. 2020 Sep 23;20(1):1444
pubmed: 32977789
Glob Health Sci Pract. 2014 Apr 08;2(2):173-81
pubmed: 25276575
PLoS One. 2018 Sep 27;13(9):e0204752
pubmed: 30261046
BMJ Glob Health. 2018 Apr 12;3(2):e000779
pubmed: 29662698
BMC Pregnancy Childbirth. 2018 Apr 10;18(1):88
pubmed: 29631549
PLoS One. 2019 Apr 3;14(4):e0213987
pubmed: 30943243
BMC Health Serv Res. 2023 Mar 6;23(1):217
pubmed: 36879266
PLoS One. 2018 Sep 5;13(9):e0202129
pubmed: 30183720
Cureus. 2023 May 1;15(5):e38403
pubmed: 37265919
Health Policy. 2010 Jul;96(2):98-107
pubmed: 20138385
PLoS One. 2018 Nov 29;13(11):e0207942
pubmed: 30496236
BMC Health Serv Res. 2020 Aug 24;20(1):781
pubmed: 32831074
BMJ Open. 2017 Nov 15;7(11):e017122
pubmed: 29146636
Public Health. 2019 May;170:113-121
pubmed: 30991173
J Ayub Med Coll Abbottabad. 2018 Jul-Sep;30(3):482-485
pubmed: 30465392
Int Health. 2019 Nov 13;11(6):545-550
pubmed: 30990520
Int J Equity Health. 2021 Apr 17;20(1):102
pubmed: 33865396