Page 194 - GHES-3-2

Global Health Economics and
Sustainability
Post-partum modern contraceptive use in Pakistan

about their health and reproductive options. An increase Consent for publication
in the utilization of modern contraceptives in Pakistan
may result from the need for more assistance in improving Not applicable.
the utilization of maternal healthcare. Thus, the main focus Availability of data
should be to guarantee that married women in the present
day have access to maternal health services, irrespective of The data used to draw analysis and all the supporting
their financial status. The results also indicate that wealth, endorsements or any conclusive statements supported
along with other factors such as education and rural living, by any data can be accessed from the references and the
is a major contributor to this discrepancy. To overcome data are available on the website of NIPS nips.org.pk/
these persistent discrepancies in healthcare utilization, publicdata/micro-data-set-of-pakistan-demographic-and-
resources must be allocated to rural communities that are health-survey-2017-18-in-stata-format.
poorer and have lower educational levels. References
Expanding immunization services, particularly for
vulnerable families, is also essential to achieve progress Ahmed, S., Choi, Y., Rimon, J.G., Alzouma, S., Gichangi, P.,
Guiella, G., et al. (2019). Trends in contraceptive prevalence
toward universal health coverage under the SDG 2030 rates in sub-Saharan Africa since the 2012. London summit
Agenda. The country should effectively implement equity- on family planning: Results from repeated cross-sectional
oriented resource allocation strategies. Moreover, to raise surveys. The Lancet Global Health, 7(7):904-911.
awareness about the importance of modern contraceptive
use, efforts should be directed toward home visits for https://doi.org/10.1016/S2214-109X(19)30200-1
health campaigns. Alhassan, R.K., Owusu-Agyei, S., Ansah, E.K., Gyapong, M.,
Ashinyo, A., Ashinyo, M.E., et al. (2020). Trends and correlates
The study has certain limitations related to the data of maternal, newborn and child health services utilization in
analyzed. It relies on cross-sectional data from the PDHS, primary healthcare facilities: An explorative ecological study
which restricts the ability to establish causal relationships using DHIMSII data from one district in the Volta region of
between the utilization of MCH services and contraceptive Ghana. BMC Pregnancy and Childbirth, 20:543.
uptake. Moreover, the study does not account for the https://doi.org/10.1186/s12884-020-03195-1
male perspective in decision-making regarding modern
contraceptive methods, which is a critical factor in many Bansal, A., Shirisha, P., Mahapatra, B., & Dwivedi, L.K. (2022).
cultural contexts. Finally, the categorization of contraceptive Role of maternal and child health services on the uptake
use could be refined by focusing on two distinct groups: of contraceptive use in India: A reproductive calendar
approach. PloS One, 17(6):e0269170.
users and non-users of modern contraceptive methods.
https://doi.org/10.1371/journal.pone.0269170
Acknowledgments Bellizzi, S., Mannava, P., Nagai, M., & Sobel, H.L. (2020). Reasons

None. for discontinuation of contraception among women with
a current unintended pregnancy in 36 low and middle-
Funding income countries. Contraception, 101(1):26-33.

None. https://doi.org/10.1016/j.contraception.2019.09.006
Chishtie, J., Chishtie, F., & Jaglal, S. (2021). Exploring knowledge
Conflict of interest translation practices in a global health program: case study

The authors declare no conflict of interest. on the establishment of the Pakistan National Maternal,
Neonatal, and Child Health Program. Journal of Public
Author contributions Health, 29:215-228.
Conceptualization: Amna Noor Asim https://doi.org/10.1007/s10389-019-01115-y
Formal analysis: Muhammad Mohsin Latif Kiani Das, J.K., Padhani, Z.A., Jabeen, S., Rizvi, A., Ansari, U.,
Investigation: Javed Ali Fatima, M., et al. (2020). Impact of conflict on maternal and
Methodology: Amna Noor Asim, Muhammad Mohsin child health service delivery-how and how not: A country
Latif Kiani case study of conflict affected areas of Pakistan. Conflict and
Writing – original draft: Amna Noor Asim. Health, 14:1-16.
https://doi.org/10.1186/s13031-020-00271-3
Ethics approval and consent to participate
Dixit, P., Dwivedi, L.K., & Gupta, A. (2017). Role of maternal
Not applicable. and child health care services on postpartum contraceptive

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