Effect of Socioeconomic Factors on the Choice of Health care Institutions for Delivery Care

Sohail Akhtar; Zafar Ahmed; Kesavan Sreekantan Nair; Yasir Hayat Mughal; Asim Mehmood; Wajiha Rehman; Sumaira  Idrees

doi:10.3889/oamjms.2022.10394

Authors

Sohail Akhtar Department of Community Medicine and Public Health, Faculty of Medicine and Health Sciences UNIMAS, Universiti Malaysia Sarawak, Kota Samarahan, Malaysia; Department of Health Informatics, College of Public Health and Health Informatics, Qassim University, Al Bukayriyah, Saudi Arabia
Zafar Ahmed Department of Community Medicine and Public Health
Kesavan Sreekantan Nair Department of Health Administration, College of Public Health and Health Informatics, Qassim University, Al Bukayriyah, Saudi Arabia
Yasir Hayat Mughal Department of Health Administration, College of Public Health and Health Informatics, Qassim University, Al Bukayriyah, Saudi Arabia
Asim Mehmood Department of Health Informatics, Faculty of Public Health and Tropical Medicine, Jazan University, Jizan, Saudi Arabia
Wajiha Rehman Department of Health Informatics, Faculty of Public Health and Tropical Medicine, Jazan University, Jizan, Saudi Arabia
Sumaira Idrees Department of Health Informatics, Faculty of Public Health and Tropical Medicine, Jazan University, Jizan, Saudi Arabia

DOI:

https://doi.org/10.3889/oamjms.2022.10394

Keywords:

Delivery care, Out-of-pocket expenditure, Public sector, Private sector

Abstract

During the past two decades, Pakistan witnessed a significant progress in maternal health outcomes. However, there exist persistent urban-rural and socio-economic inequalities in access and utilization of maternal healthcare services across the country. The overall objective of this research was to identify the significant socio-economic factors determining the choice of healthcare institutions for delivery care. This was a cross-sectional study conducted in Rajan Pur, a predominantly rural district in Punjab province. Using a multi-stage random sampling technique, 368 mothers who had childbirths from 1^st October to 31^st December 2020 in different healthcare institutions were interviewed. Data for the study was collected through a validated study instrument used by earlier studies on maternal healthcare utilization. The results of logistic regression analysis showed that use of public healthcare facilities for delivery care increases with increasing maternal education, monthly household income, and distance to healthcare facilities. The findings and recommendations drawn from the research would provide some insights to health policymakers and planners in developing an integrated and viable maternal healthcare program in Pakistan.

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