Sathirakorn Pongponich, Abdul Ghaffar, Syed Amir Gilani.
Determinants of giving birth in a health facility; analysis of three Pakistan demographic health surveys..
J Pak Med Assoc Jan ;69(5):615-20.

To identify determinants of health facility births in Pakistani pregnant women.. The retrospective study was conducted at Chulalongkorn University from June to September 2017 and comprised data files of three Pakistan Demographic Health Surveys conducted in 1991, 2007 and 2013. The files were downloaded from the online database. Only data of women who had given at least one birth were included. Logistic regression was applied to see the relation between dependent and independent multivariable models. Confidence intervals were measured around odds ratio at 95% level. All analyses were done on the basis of survey years using SPSS 16. Of the 30192 women interviewed, 17126(56.7%) had given birth during the period: 4,039(61%) out of 6611 in 1991; 5648(56.3%) out of 10023 in 2007; and 7439(54.8%) out of 13558 in 2013. Health facility births increased from 551(13.6%) in 1991 to 2013 (37.2%) in 2007 to 3844 (51.7%) in 2013. Women from rural areas (odds ratio = 0.29, 0.689, 0.92; 95% confidence interval [0.23, 0.38], [0.6, 0.8], [0.81, 1.04]) were less likely to deliver in health facilities. Health facility births increased to almost 50% in 22 years.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com