Haq, Rashida and Arshad, Nabeela (2007): Poverty and Access to Maternal Health Care Services in Pakistan: Evidence from Perception Based Data. Published in: Population and Regional Development Nexus: 8th Annual Population Research Proceedings, December 17-18, 2007 Islamabad, Pakistan (2008): pp. 241-259.
Download (281Kb) | Preview
Pakistan is on its way to achieving the targets of the fifth Millennium Development Goal in terms of reducing the maternal mortality ratio by three-quarters between 1990 and 2015. However, the rate of decline needs to speed up over the next decade as Pakistan has a high Maternal Mortality Ratio ranging between 400 to 1,400 maternal deaths per 100,000 live births.
The aim of this study is to explore the role of poverty status as a barrier in access to maternal health care services in Pakistan by regions and provinces. The analysis is based on The Pakistan Social and Living Standard Measurement Survey 2004-05. Four important indicators prenatal care, institutional delivery, postnatal care and utilization of family planning services are taken to assess the utilization of maternal health care services across perception based economic status. The findings of this study reveal that approximately 20 to 27 percent of women’s economic status worsened in 2004-05 as compared to a previous year. The antenatal care services received by women suggest that 49 percent births are preceded by a single prenatal visit in Pakistan while variation is observed across economic status and provinces while delivery care is still dominated by home births particularly in rural areas and among the lower economic status groups. As far as health care providers are concerned, better off women avail the facility from private sector while majority of poor women visit government hospitals or clinics. The role and content of postnatal care has been paid less attention across region and provinces. Only a quarter of women ever utilized the facility of family planning center during the month preceding the survey. Finally, it can be concluded that the poor economic status of women is a barrier in utilizing the maternal health care services. Finally, it is suggested that the progress of policies and program related to maternal health care services should always be monitored and evaluated in terms of the success achieved not only on aggregate terms but for each group of the population.
|Item Type:||MPRA Paper|
|Original Title:||Poverty and Access to Maternal Health Care Services in Pakistan: Evidence from Perception Based Data|
|Keywords:||Population and Regional Development; Health Care services in Pakistan; Poverty and Maternal Health Care Services; Poverty; Perception Based Data|
|Subjects:||P - Economic Systems > P3 - Socialist Institutions and Their Transitions > P36 - Consumer Economics; Health; Education and Training; Welfare, Income, Wealth, and Poverty
N - Economic History > N3 - Labor and Consumers, Demography, Education, Health, Welfare, Income, Wealth, Religion, and Philanthropy
I - Health, Education, and Welfare > I3 - Welfare and Poverty
P - Economic Systems > P4 - Other Economic Systems > P42 - Productive Enterprises; Factor and Product Markets; Prices; Population
R - Urban, Rural, Regional, Real Estate, and Transportation Economics > R2 - Household Analysis
I - Health, Education, and Welfare > I1 - Health
|Depositing User:||Nabeela Arshad|
|Date Deposited:||22. May 2012 13:48|
|Last Modified:||12. Feb 2013 17:45|
Akram, Muhammad and Faheem J. Khan (2007) “Health Care Services and Government Spendings in Pakistan” Pakistan Institute of Development Economics Working Paper no. 2007:32.
Ali, Tazeen Saeed. et al (2004) “A Community Based Study for Prevalence of and Factors associated with Perceived Postpartum Hemorrhage at Karachi, Pakistan.” Fifth Annual Research Conference Proceedings. Population Association of Pakistan.
Arif, G.M (2004) “Child Health and Poverty in Pakistan” The Pakistan Development Review, Vol 43(3).
Khalil Mahwish (2004) “Promoting Safe Motherhood Initiatives” Fifth Annual Research Conference Proceedings. Population Association of Pakistan.
Khan, Amanullah and Asma F. Qureshi (1995) “Reducing maternal Mortality Among Poor Pakistani Women in Urban Squatter Settlement: An Alternative Strategy” Department of Community Health Sciences. The Agha Khan University, Karachi.
Koenig A. Micheal et al (1988) “Maternal Mortality in Matlab, Bangladesh: 1976-85”. Studies in Family Planning. Vol.19, No.2, PP69-80.
Mahmood, Naushin and Durr-e-Nayab (2000) “An Analysis of Reproductive Health Issues in Pakistan” Pakistan Development Review. Vol.39 (4)
Maine, Deborah (1992) “Safe Motherhood Programs: options and issues” Center for population and Family Health. Faculty of Medicine. Columbia University, New york.
Pakistan, Government of (2005) “Pakistan Economic Survey” Ministry of Finance, Islamabad.
Pakistan, Government of (2005) “Pakistan social and Living Standards measurement Survey” Federal Bureau of statistics.
Sather Z.A et al (2003) “Women‟s Reproductive Health Status and Poverty in Pakistan”. Population Research and Policy Development in Pakistan. 4th Conference Proceedings. Population Association of Pakistan.
Tinker, A. G (1998) “Improving Women‟s Health, Human development Network”. Health, Nutrition and Population S. Washington, D.C: World Bank.
UNDP (2003) “Human Development Report 2003, Millennium Development Goals: A compact among nations to end human poverty”. New York: Oxford University Press.
UNDP (2005) “Pakistan Millennium Development Goals Report”. Centre for Poverty Reduction and income Distribution, Islamabad.
World Health Organization (2003) “Maternal Mortality in 2000: Estimates Developed by WHO, UNICEF and UNFPA.” Geneva.
World Health Organization (1996). “World Health Report 1996: Fighting Disease, Fostering Development”. Geneva.