ArticleMaternal and child health journal2022
Women's Status and its Association With Home Delivery: A Cross-Sectional Study Conducted in Khyber-Pakhtunkhwa, Pakistan.
Article in Maternal and child health journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Predicting home delivery and identifying its determinants among women aged 15-49 years in sub-Saharan African countries using a Demographic and Health Surveys 2016-2023: a machine learning algorithm.BMC public health · 2025Article
- Impact evaluation of invisible intimate partner violence on maternal healthcare utilization in Pakistan.BMC pregnancy and childbirth · 2024Article
- The impact of partner's behaviour on pregnancy related outcomes and safe child-birth in Pakistan.BMC pregnancy and childbirth · 2023Article
- Internal migration and utilization of reproductive and maternity care among women in Pakistan: evidence from a recent National Survey.Frontiers in public health · 2023Article
- Antenatal care booked rural residence women have home delivery during the era of COVID-19 pandemic in Gidan District, Ethiopia.PloS one · 2023Article
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Authors and funding
4 authors.
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Abstract
introductionHome delivery is a predominant driver of maternal and neonatal deaths in developing countries. Despite the efforts of international organizations in Pakistan, home childbirth is common in the remote and rural areas of Khyber Pakhtunkhwa province. We studied women's position within the household (socio-economic dependence, maternal health decision making, and social mobility) and its association with the preference for home delivery.
methodsWe conducted a cross-sectional household survey among 503 ever-married women of reproductive age (15-49 years), who have had childbirth in the last twelve months or were pregnant (more than 6 months) at the time of the interview. A two-stage cluster sampling technique has been used for recruitment. Descriptive and bivariate analyses have been conducted. A binary logistic regression model was calculated to present odds ratios and corresponding 95% confidence intervals for factor associated with home delivery.
resultsAn inferior status of women, restrictions in mobility and limited power in decision making related to household purchases, maternal health care, and outdoor socializing are contributing factors of home delivery. Furthermore, women having faced intimate partner violence were much more likely to deliver at home (OR = 2.66, 95% CI: 1.83.3.86, p < 0.001). DISCUSSION: We concluded that women are in a position with minimal authority in decision making to access and deliver the baby in any health facility. We recommend that the government should ensure the availability of health facilities in nearby locations to increase institutional deliveries in the study area.
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