Open Access Research article

Correlates of preferences for home or hospital confinement in Pakistan: evidence from a national survey

Sajid Amin Javed1, Muhammad Danish Anjum2, Waqas Imran3*, Azad Haider4, Ayesha Shiraz5, Farzana Shaheen6 and Muhammad Iftikhar ul Husnain4

Author Affiliations

1 Department of Economics, Pakistan Institute of Development Economics, Quaid-e-Azam University Campus, Islamabad 44000, Pakistan

2 IQRA University, Islamabad, House # O/1026-B, Mohallah Huri Pura Ghazi Roadi, Rawalpind, Pakistan

3 The Islamia University of Bahawalpur, H-268, Gali-34, G-10/1, Islamabad 44000, Pakistan

4 COMSATS Institute of Information Technology, Islamabad 44000, Pakistan

5 National Institute of Population Studies, 12-A Capital Inn Building, G-8 Markaz, Islamabad 44000, Pakistan

6 Federal Urdu University of Arts, Science and Technology, Islamabad 44000, Pakistan

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BMC Pregnancy and Childbirth 2013, 13:137  doi:10.1186/1471-2393-13-137

Published: 24 June 2013

Abstract

Background

Despite the pregnancy complications related to home births, homes remain yet major place of delivery in Pakistan and 65 percent of totals births take place at home. This work analyses the determinants of place of delivery in Pakistan.

Methods

Multivariate Logistic regression is used for analysis. Data are extracted from Pakistan Demographic and Health Survey (2006–07). Based on information on last birth preceding 5 years of survey, we construct dichotomous dependent variable i.e. whether women deliver at home (Coded=1) or at health facility (coded=2).

Results

Bivariate analysis shows that 72% (p0.000) women from rural area and 81% women residing in Baluchistan delivered babies at home. Furthermore 75% women with no formal education, 81% (p0.000) women working in agricultural sector, 75% (p0.000) of Women who have 5 and more children and almost 77% (p0.000) who do not discussed pregnancy related issues with their husbands are found delivering babies at home. Multivariate analysis documents that mothers having lower levels of education, economic status and empowerment, belonging to rural area, residing in provinces other than Punjab, working in agriculture sector and mothers who are young are more likely to give births at home.

Conclusion

A trend for home births, among Pakistani women, can be traced in lower levels of education, lower autonomy, poverty driven working in agriculture sector, higher costs of using health facilities and regional backwardness.

Keywords:
Reproductive health; Place of delivery; Pakistan; Logistic regression