Journal of South Asian Federation of Obstetrics and Gynaecology

Register      Login

VOLUME 17 , ISSUE 1 ( January-February, 2025 ) > List of Articles

RESEARCH ARTICLE

Sociodemographic Factors Affecting the Choice of Home for Childbirth in Pakistani Women

Raana Bibi, Faiqa A Tullah, Rabia Tabassum, Sarah N Tullah, Seemin Kashif

Keywords : Childbirth, Facility delivery, Home, Pakistan

Citation Information : Bibi R, Tullah FA, Tabassum R, Tullah SN, Kashif S. Sociodemographic Factors Affecting the Choice of Home for Childbirth in Pakistani Women. J South Asian Feder Obs Gynae 2025; 17 (1):21-28.

DOI: 10.5005/jp-journals-10006-2597

License: CC BY-NC 4.0

Published Online: 28-03-2025

Copyright Statement:  Copyright © 2025; The Author(s).


Abstract

Objectives: The study aimed to find prevalence of childbirth at home and sociodemographic factors affecting this choice. Materials and methods: Data was obtained from latest Demographic and Health Survey dataset of Pakistan (2017−2018). All women, aged 15−49 years, who gave birth to at least one child, were included. Independent variables included were province, age, education, work status, mobile phone, watching television (TV), wealth, toilet, urban/rural residence, number of children, husband's education and occupation, and availability of transport. Chi-squared tests and regression analyses were done. Statistical package for the social sciences version 22 was used. Results: Home delivery was common in Baluchistan province, whereas facility delivery was higher in Punjab and Sindh province. Better education levels of both women and their husbands, owning a mobile, and watching TV positively affected facility delivery. Having more than 3 children negatively affected facility delivery. Women's work status did not affect the place of delivery; however, professional husband favored facility delivery while agriculture workers favored home delivery. Availability of transport, better wealth status, and older age at first delivery positively affected the facility delivery, while sharing of toilets favored home delivery. Conclusion: Living in rural areas, living in Baluchistan and Khyber Pakhtunkhwa provinces, older age at first delivery, lower education of woman and husband, husband in agriculture, not owning a mobile, not watching TV, being from a poor household, having more than 3 children, having shared toilets, and not having transport to medical facility resulted in childbirth at home. Woman's work status did not affect facility delivery in urban or rural areas.


PDF Share
  1. Kurjak A, Stanojević M, Dudenhausen J. Why maternal mortality in the world remains tragedy in low-income countries and shame for high-income ones: will sustainable development goals (SDG) help? J. Perinat. Med 2023;51(2):170–181. DOI:10.1515/jpm-2022-0061.
  2. UNDP. Sustainable urbanization [online]. 2018. Available from: https://www.undp.org/pakistan/publications/sustainable-urbanization.
  3. Abdullah N. The state of education in Pakistan: An analytical review of basic education indicators. New Horizon 2020;14(1):1−14. DOI: 10.2.9270/NH.14.1(20).01.
  4. Cattaneo A, Nelson A, McMenomy T. Global mapping of urban–rural catchment areas reveals unequal access to services. Proc Natl Acad Sci USA 2021;118(2):e2011990118. DOI: 10.1073/pnas.2011990118.
  5. Rehman A, Jingdong L, Hussain I. The province-wise literacy rate in Pakistan and its impact on the economy. Pac Sci Rev B: Humanities Soc Sci 2015;1(3):140−144. DOI: 10.1016/j.psrb.2016.09.001.
  6. Amber H, Chichaibelu BB. Narrowing the gender digital divide in Pakistan: Mobile phone ownership and female labor force participation. Rev Dev Econ 2023;27(3):1354−1382. DOI: 10.1111/rode.12994.
  7. Ahmed A, Anwar B, Qureshi M, et al. Assessment of health literacy and its determinants in patients visiting tertiary care hospital, Rawalpindi, Pakistan. Pakistan J Public Health 2021;10(4):220−225. DOI: 10.32413/pjph.v10i4.674.
  8. Muhammad F, Bano K, Muhammad K, et al. Women empowerment in Pakistan: Assessing the socio-economic determinants. Studies Appl Econ 2021;39(3):1−9. DOI: 10.25115/eea.v39i2.3884.
  9. Hussain S, Jullandhry S. Are urban women empowered in Pakistan? A study from a metropolitan city. Women Stud Int Forum 2020;82:102390. DOI: 10.1016/j.wsif.2020.102390.
  10. Khan AY, Fatima K, Ali M. Sanitation ladder and undernutrition among under-five children in Pakistan. Environ Sci Pollut Res Int 2021;28(29):38749−38763. DOI: 10.1007/s11356-021-13492-7.
  11. Cooper R. Water, sanitation and hygiene services in Pakistan [online]. New Horizons; 2018. Available from: https://assets.publishing.service.gov.uk/media/5c6c2b4be5274a72be398f0a/502_Water__Sanitation_and_Hygiene_in_Pakistan.pdf.
  12. Wazir MA, Goujon A. Assessing the 2017 Census of Pakistan using demographic analysis: A sub-national perspective. VID Work Papers 2021;1:1−44. DOI: 10.1553/0x003cb42c.
  13. Konje ET, Hatfield J, Kuhn S, et al. Is it home delivery or health facility? Community perceptions on place of childbirth in rural Northwest Tanzania using a qualitative approach. BMC Pregnancy Childbirth 2020;20(1):270. DOI: 10.1186/s12884-020-02967-z.
  14. Rahman MdA, Rahman MA, Rawal LB, et al. Factors influencing place of delivery: Evidence from three south-Asian countries. PLoS One 2021;16(4):e0250012. DOI: 10.1371/journal.pone.0250012.
  15. Ayenew AA, Nigussie AA, Zewdu BF. Childbirth at home and associated factors in Ethiopia: A systematic review and meta-analysis. Arch Public Health 2021;79(1):48. DOI: 10.1186/s13690-021-00569-5.
  16. Iftikhar Ul, Husnain M, Rashid M, et al. Decision-making for birth location among women in Pakistan: Evidence from national survey. BMC Pregnancy Childbirth 2018;18(1):226. DOI: 10.1186/s12884-018-1844-8.
  17. Ahmed M, Baloch A. Political economy of Balochistan, Pakistan: A critical review [online]. 2015. Available from: https://eujournal.org/index.php/esj/article/view/5688.
  18. Imranullah M. Factors affecting economy of Khyber Pakhtunkhwa [online]. Abasyn J Social Sci 2017;10(2):414−439. Available from: http://ajss.abasyn.edu.pk/admineditor/papers/V10I2-12.pdf.
  19. Ameer N, Ashraf M, Jamil S, et al. Factors affecting place of delivery at a rural community of Lahore, Pakistan. Saudi J Nurs Health Care 2022;5(10):284−289. DOI: 10.36348/sjnhc.2022.v05i10.010.
  20. Noh JW, Kim Y-M, Akram N, et al. Impact of socio-economic factors and health information sources on place of birth in Sindh Province, Pakistan: A secondary analysis of cross-sectional survey data. Int J Environ Res Public Health 2019;16(6):932. DOI: 10.3390/ijerph16060932.
  21. Sukirman R, Wahyono TYM, Shivalli S. Determinants of healthcare facility utilization for childbirth in Kuantan Singingi regency, Riau province, Indonesia 2017. BMC Public Health 2020;20(1):933. DOI: 10.1186/s12889-020-09035-3.
  22. Khalid A, Haider KA, Ahmer H, et al. Why do women still give birth at home; perceptions of Pakistani women and decision-makers from marginalized communities. PLOS Glob Public Health 2023;3(10):e0002217. DOI: 10.1371/journal.pgph.000 2217.
  23. Bhowmik J, Biswas RK, Ananna N. Women's education and coverage of skilled birth attendance: An assessment of Sustainable Development Goal 3.1 in the South and Southeast Asian Region. PLoS One 2020;15(4):e0231489. DOI: 10.1371/journal.pone.0231489.
  24. Bekuma TT, Firrisa B, Negero MG, et al. Factors affecting choice of childbirth place among childbearing age women in Western Ethiopia: A community-based cross-sectional study. Int J Reprod Med 2020;2020:1−9. DOI: 10.1155/2020/4371513.
  25. Omer S, Zakar R, Zakar MZ, et al. The influence of social and cultural practices on maternal mortality: A qualitative study from South Punjab, Pakistan. Reprod Health 2021;18(1):97. DOI: 10.1186/s12978-021-01151-6.
  26. Wong KLM, Brady OJ, Campbell OMR, et al. Too poor or too far? Partitioning the variability of hospital-based childbirth by poverty and travel time in Kenya, Malawi, Nigeria and Tanzania. Int J Equity Health 2020;19(1):15. DOI: 10.1186/s12939-020-1123-y.
  27. Asif MF, Pervaiz Z, Afridi JR, et al. Socio-economic determinants of child mortality in Pakistan and the moderating role of household's wealth index. BMC Pediatr 2022;22(1):3. DOI: 10.1186/s12887-021-03076-2.
  28. Benova L, Cumming O, Gordon BA, et al. Where there is no toilet: Water and sanitation environments of domestic and facility births in Tanzania. PLoS One 2014;9(9):e106738. DOI: 10.1371/journal.pone.0106738.
  29. Sadia A, Mahmood S, Naqvi F, et al. Factors associated with home delivery in rural Sindh, Pakistan: Results from the global network birth registry. BMC Pregnancy Childbirth 2022;22(1):192. DOI: 10.1186/s12884-022-04516-2.
  30. Fatema K, Lariscy JT. Mass media exposure and maternal healthcare utilization in South Asia. SSM Population Health 2020;11:100614. DOI: 10.1016/j.ssmph.2020.100614.
  31. Dantas JAR, Singh D, Lample M. Factors affecting utilization of health facilities for labour and childbirth: A case study from rural Uganda. BMC Pregnancy Childbirth 2020;20(1):39. DOI: 10.1186/s12884-019-2674-z.
  32. Bisht R, Kandalgaonkar VP, Shinde KK. Cesarean section rate among COVID-19 mothers and its classification through Robson's criteria. J South Asian Feder Obst Gynae 2021;13(5):356. DOI: 10.5005/jp-journals-10006-1921.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.