Factors influencing place of delivery: Evidence from three south-Asian countries

• DOI: 10.1371/journal.pone.0250012
• Publication Date: 2021-04-08T19:11:12Z
• Authors: Md. Ashfikur Rahman; Muhammad Aziz Rahman; Lal B. Rawal; Mohan Paudel; Md. Hasan Howlader; Bayezid Khan; Tanjim Siddiquee; Abdur Rahman; Apurbo Sarkar; Md. Sazedur Rahman; Roslin Botlero; Sheikh Mohammed S...
• Keywords: Rural Population; History; Urban Population; Developing country; Economics; Health Professions; Logistic regression; FOS: Health sciences; Health Services Accessibility; 0302 clinical medicine; Sociology; 5. Gender equality; Pregnancy; 11. Sustainability; Economic Status; Pakistan; Internal medicine; Uncategorized; Global Maternal and Child Health Outcomes; Bangladesh; Public health; 4. Education; Q; R; 1. No poverty; Obstetrics and Gynecology; Prenatal Care; Health services; FOS: Sociology; 3. Good health; Maternal Mortality; Environmental health; General Health Professions; Educational Status; Medicine; Female; South asia; Research Article; Maternal Age; Health facility; Ethnology; Adult; Maternal and Neonatal Outcomes of Cesarean Section; Science; Population; Nursing; 03 medical and health sciences; Nepal; XXXXXX - Unknown; Health Sciences; Genetics; Humans; Biology; Economic growth; Demography; Delivery, Obstetric; Socioeconomic Factors; FOS: Biological sciences; Pediatrics, Perinatology and Child Health; Maternal Death; Determinants of Health Care Expenditure and Longevity; Health Facilities

High maternal mortality is still a significant public health challenge in many countries of the South-Asian region. The majority deaths occur due to pregnancy and delivery-related complications, which can mostly be prevented by safe facility delivery. Due paucity existing evidence, our study aimed examine factors associated with place delivery, including women's preferences for such three selected countries.We extracted data from most recent demographic surveys (DHS) conducted Bangladesh (2014), Nepal (2016), Pakistan (2017-18) analyzed identify association between outcome variable socio-demographic characteristics. A total 16,429 women (4278; mean age 24.57 years), (3962; 26.35 (8189; 29.57 years) were included this study. Following descriptive analyses, bivariate multivariate logistic regressions conducted.Overall, prevalence facility-based delivery was 40%, 62%, 69% Bangladesh, Nepal, Pakistan, respectively. Inequity utilizing observed highest wealth quintile. Participants Urban areas, educated, middle upper household economic status, high antenatal care (ANC) visits significantly all countries. Interestingly, watching TV also found as strong determinant (aOR = 1.31, 95% CI:1.09-1.56, P 0.003), 1.42, CI:1.20-1.67, P<0.001) 1.17, CI: 1.03-1.32, 0.013). Higher education husband predictor 1.73, CI:1.27-2.35, 0.001) 1.19, 0.99-1.43, 0.065); husband's occupation factor 1.30, CI:1.04-1.61, 0.020) 1.26, CI:1.01-1.58, 0.041).Our findings suggest that educational status both their husbands, situation, number ANC influenced There an urgent need promote building more birthing facilities, training deployment skilled birth attendants rural hard-to-reach ensuring compulsory female women, encouraging visits, providing financial incentives deliveries. through social networks continuing mass media campaigns. Ensuring adequate Government funding free newborn local community involvement crucial reducing neonatal achieving sustainable development goals