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Global Health Economics and
                                                                                        Sustainability





                                        ORIGINAL RESEARCH ARTICLE
                                        Impact of maternal and child health services on

                                        early post-partum modern contraceptive uptake
                                        in Pakistan: A quantitative analysis



                                        Amna Noor Asim* , Muhammad Mohsin Latif Kiani , and Javed Ali

                                        Department of Research and Survey, National Institute of Population Studies, Islamabad, Pakistan



                                        Abstract

                                        The initiation of post-partum contraception is crucial for the health of mothers and
                                        their children. The early acceptance and uptake of modern contraceptive methods
                                        among women can be significantly boosted by the provision of maternal and child
                                        healthcare (MCH) services.  This study examined whether the utilization of MCH
                                        services increases women’s early adoption of modern contraceptive methods. The
                                        data were taken from the Pakistan Demographic and Health Survey (2017 – 2018) for
                                        currently married women aged 15 – 49 years, and a multinomial logistic regression
                                        model was used to analyze the data. The results reveal that the richest women were
            Academic editor:
            Mihajlo Jakovljevic M.D. Ph.D. MAE  twice as likely (relative risk ratio [RRR] = 2.14, p < 0.001) to use modern contraceptive
                                        methods and 4 times more likely (RRR = 4.16, p < 0.001) to use traditional contraceptive
            *Corresponding author:
            Amna Noor Asim              methods than the poorest women. Similarly, women with media exposure were more
            (nooramnaasim@gmail.com)    likely (RRR = 1.43, p < 0.001) to use modern contraceptive methods in comparison
                                        with their counterparts. Notably, women aged 30 – 34 years (RRR = 2.08, p < 0.001)
            Citation: Asim, A.N., Kiani, M.M.L.
            & Ali, J. (2025). Impact of maternal   were more likely to use modern contraceptives. Expanding MCH services, focused
            and child health services on early   on addressing wealth disparities, media exposure, and education levels, is crucial.
            post-partum modern contraceptive   In addition, regional and age-specific barriers to contraceptive use should be
            uptake in Pakistan: A quantitative
            analysis. Global Health Econ   tackled, particularly in underserved areas such as Balochistan and among younger
            Sustain, 3(2):180-187.      reproductive age groups.
            https://doi.org/10.36922/ghes.5090
            Received: October 8, 2024
                                        Keywords: Maternal; Post-partum; Uptake; Contraceptives; Services; Healthcare;
            1st revised: December 9, 2024  Sustainable
            2nd revised: January 3, 2025
            Accepted: February 12, 2025
            Published online: March 5, 2025  1. Introduction
            Copyright: © 2025 Author(s).   The initiation of post-partum contraception is crucial for the health of mothers and their
            This is an Open Access article   children. To encourage and assist women in adopting early contraceptive use, maternal
            distributed under the terms of the
            Creative Commons Attribution   and child healthcare (MCH) services must be supported. MCH services have received
            License, permitting distribution,   considerable attention in the demographic and public health literature. Improvement in
            and reproduction in any medium,   MCH services reflects a nation’s overall socioeconomic progress. Thus, improved access
            provided the original work is
            properly cited.             to and utilization of high-quality reproductive health services are essential for decreasing
                                        maternal and child mortality and morbidity.
            Publisher’s Note: AccScience
            Publishing remains neutral with   In September 2015, all UN Member States adopted the Sustainable Development
            regard to jurisdictional claims in
            published maps and institutional   Goals (SDGs) Agenda 2030. These 17 goals aimed to end poverty, promote gender equity,
            affiliations.               and create a peaceful and prosperous world. Goal 3, among these goals, focuses on the


            Volume 3 Issue 2 (2025)                        180                       https://doi.org/10.36922/ghes.5090
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