Preference of Birthing Place: A Mixed Methods National Study of Communities, Households, Community Midwives & MNCH Program
North South Development Collaboration (NSDC), UK.
This mixed method study was conducted in the rural areas of the four provinces of Pakistan, namely Punjab, Baluchistan, Khyber Pakhtoonkhwa and Sindh. The key objective was to explore the households’ preference for the location of birthing facilities and reasons for their choice. Community midwives, women and key community members including religious leaders and elders were qualitatively interviewed. For the quantitative study, a multistage cluster sampling technique was used to get a representative sample from each province.
Fourteen hundred community households, which had married couples of child-bearing age, were identified after a mapping exercise by the research team and with the help of the local lady health worker. The quantitative information was collected on a pretested and validated questionnaire in the local language, by women researchers at the respondent’s home after obtaining consent. In-depth interviews with the federal and provincial program personnel were conducted..
The results will help assist Pakistan’s health planners to place CMWs in accordance with the needs of the diversified communities in each province.