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4.6.3 Delivery Location and Type of Assistances
Overall 16 percent of births in 2024-25 took place at home as compared to 30 percent in 2018 -
19. (Table 1 9a).The percentage is
almost twice in rural areas with 20
percent as compared to urban areas
with 8 percent . It is encouraging to
note that home deliveries have
declined significantly across both
urban and rural areas. This trend
indicates a gradual shift towards
institutional deliveries, reflecting
improved access to healthcare
facilities and a growing preference
for safer childbirth practices.
Sustaining this progress wi ll be vital for further reducing maternal and neonatal risks. The
reliability on Govt. hospitals has increased to 41 percent in 2024 -25 as compared to 29 percent
in 2018-19 on the same side the trend of private hospitals/clinic for child delivery has also been
increased to 42 percent in 2024-25 as compared to 40 percent in 2018-19.(Figure 4.17)
Childbirth assisted by a skilled birth attendant plays a vital role in reducing both maternal and
neonatal mortality. The coverage of deliveries assisted by Skilled Birth Attendants in Pakistan
has shown steady improvement over
the years, reaching 84 percent in
2024-25,(Figure 4.18) which show 8
out of 10 women have their delivery
through skilled birth attendant.
Among these, doctors account for the
largest share at 71 percent. A bit
more comprehensive efforts are required to cover remaining 16 percent birth under umbrella of
skilled birth attendant. (Table 19b)
Home , 16
G.hospital
/RHC/BH
U, 41
Private
hosp/clinic
, 42
Other, 1
Figure 4.17:Delivery Location
Skilled Birth Attendants:
Skilled Birth Attendants includes
Doctors, Nurses, midwives and Lady
Health Visitors (LHV).
In Pakistan, 84% of births take place
with the assistance of skilled birth
attendants.
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HEALTH
Table 19b present percentage of delivery by type of assistance which indicates the increase in
deliveries assisted by doctors with 71 percent in 2024-25 as compared to 58 percent in 2018-19.
This trend highlights a positive shift toward pr ofessional medical assistance during childbirth,
reflecting improved access to healthcare facilities and greater trust in skilled providers. The
percentage of child deliveries assisted by Trained Dai and TBA decreased to 11 in 2024–25 from
22 in 2018–19, reflecting a positive shift toward skilled birth attendance and improved maternal
and neonatal health outcomes.
4.6.4 Post-Natal Consultation
Post-natal consultation is supposed to be provided to the mother and her infant within six week of
child’s birth, overall 4 4 percent of
mothers reported to have post - natal
check-up within six weeks after
delivery as compared to 33 percent in
2018-19. (Figure 4.1 9) This means
from every 4 women in Pakistan around
one or two is going for post Natal
consultation. However, the overall
provincial situation shows an increasing trend in 2024-25 as compared to 2018 -19, highest trend
is observed in Sindh with 50 percent. This percentage is higher in urban area with 56 percent and
rural with 45 percent. Followed by Punjab with 49 percent, KP with 27 percent and Balochista n
with 26 percent. Although KP and Balochistan show lower trend of post-natal care compared to
78
51 58
90
75 79
92
80 84
0
50
100
150
200
250
300
Urban Rural Total2013-14 2018-19 2024-25
Figure 4.18:Skilled Birth Attendant
HIES 2024-25 (SOCIAL REPORT) 178
HEALTH
other provinces, both provinces have still demonstrated a gradual upward trend since 2018-19. This increase, though modest, indicates improving access and awareness, but also highlights the need for enhanced outreach and service availability in remote and underserved areas. (Table 20a). Table 20b shows the facility consulted for post-natal consultation, Private hospital/clinic with 58 percent and government hospital/BHU/RHC with 38 percent are the topmost facilities visited for post-natal consultation. The same pattern for consultation is observed both in urban and rural area.
4.6.5 Breastfeeding Practices in Pakistan Breastfeeding remains a foundational practice for child health, providing essential nutrients and protection against common childhood illnesses. Continued emphasis on breastfeeding support and awareness is vital for promoting healthy growth and improving early-life outcomes nationwide. Breastfeeding remains widely practiced across the country with 95 percent of women in Pakistan breastfeeding their last child. However, provincial differences are minimal, as Sindh, KP, and Balochistan showed higher rates with 97 percent comparative to Punjab with 94 percent. Overall, the trend reflects strong and consistent adherence to breastfeeding practices nationwide.(Table 21, Figure 4.20).
Figure 4.19: Post Natal Consultation Within Six Weeks After Delivery 0 10 20 30 40 50 Pakistan Punjab Sindh KP Balochistan 44 49 50 27 26 33 34 41 24 19 2024-25 2018-19 Figure 4.20: Percentage of Women That Breast Fed Their Last Child 91 92 93 94 95 96 97 98 96 94 98 97 97 95 93 97 97 97 95 94 97 97 97 Urban Rural Total
HIES 2024-25 (SOCIAL REPORT) 179
HEALTH
List of Statistical Tables
Table 1a Percentage of children aged 12-23 months that have been immunized
Table 1b Percentage of children aged 12-23 months that have been immunized on record
Table 1c Percentage of children aged 12-23 months that have been immunized on record and recall
Table 2 Percentage of Children Aged 12-23 Months That Have Been Fully Immunized Based On Record- By Quintiles
Table 3 Percentage of Children 12-23 Months That Have Been Immunized by Type of Antigen-Based On Record
Table 4 Percentage of Children Aged 12-23 Months That Have Been Immunized by Type of Antigen-Based On Record
and Recall
Table 5a Children under 5 suffering from diarrhoea in past 15 days by Region and Province
Table 5b Treatment of Diarrhoea cases where practitioner was consulted in children under 5 years and under –By Region
and Province
Table 5c Treatment of Diarrhoea cases where ORS was given to child under 5 years and under – By Region and Province
Table 6 Diarrhoea Cases in Children Under 5 Years Duration of Episodes
Table 7 Diarrhoea Cases Where Govt. Health Practitioner Was Consulted First by Region and Province
Table 8 Type of Practitioner Consulted for Diarrhoea Treatment-By Region and Practitioner
Table 9 Reason for Not Visiting Govt. Facility First for Diarrhoea Treatment- By Region and Province
Table 10 Diarrhoea Cases in Past 15 Days- By Province and Quintiles
Table 11 Reasons for Visiting Private Practitioner First for Diarrhoea Treatment–By Region and Province
Table 12 Percentage of Population with Malaria/Dengue, Hepatitis B & C and Tuberculosis
Table 13 Neo Natal Mortality with Respect to Period of Birth
Table 14 Infant Mortality Rate- By Gender and Region
Table 15 Infant Mortality and Mother’s Education
Table 16a Pre-Natal consultation-by Region and Province
Table 16b Pregnant Women that have received Tetanus Toxoid Injection
Table 16c Protected During Last Pregnancy
Table 17 At least Four Pre-Natal consultation-By Region
Table 18 Person/ Facility Consulted for Pre-Natal consultation
Table 19a Child Deliveries- Location where Child was Delivered
Table 19b Child Deliveries- By Type of Assistance
Table 20a Post-Natal Consultation-By Province and Region
Table 20b Post-Natal Consultation-By Person/Facility Consulted
Table 21: Breast Feeding and Weaning Practice- By Province and Months
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Table 1 Percentage of children ages 12-23 months that have been immunized
Province\Region\Gender
a) Based on Recall At
Least One
Immunization
b) Based on Record
Fully Immunized
c) Based on Recall and
Record Fully
Immunized
Province\Region\Gender
2024-25
2018-19
2024-25
2018-19
2024-25
2018-19
Pakistan
96
99
73
68
78
76
Male
97
99
73
68
79
77
Female
96
99
73
67
77
76
Urban
97
100
75
76
80
83
Male
98
100
77
76
83
83
Female
96
100
74
76
77
83
Rural
96
99
72
63
77
73
Male
96
98
71
64
77
74
Female
96
99
72
63
77
72
Punjab
97
99
79
81
82
84
Male
97
98
80
81
82
84
Female
97
99
79
81
81
85
Urban
98
100
80
85
81
88
Male
100
100
82
85
84
87
Female
97
100
77
86
79
88
Rural
97
98
79
78
82
83
Male
96
98
79
79
82
83
Female
97
99
80
78
83
83
Sindh
96
100
66
50
75
73
Male
96
100
66
51
76
74
Female
97
100
66
48
73
72
Urban
98
100
73
64
81
80
Male
98
100
75
67
85
81
Female
98
100
70
62
76
78
Rural
95
99
60
36
69
67
Male
95
100
58
37
69
66
Female
96
99
62
35
70
67
Khyber Pakhtunkhwa
97
99
69
62
78
68
Male
98
99
69
63
77
71
Female
97
99
70
61
79
65
Balochistan
85
97
54
33
55
42
Male
85
98
56
32
58
44
Female
85
97
52
34
53
41
Urban
83
98
58
54
62
62
Male
83
98
62
50
68
58
Female
82
97
54
59
56
66
Rural
86
97
51
26
52
35
Male
87
46
52
37
52
56
Female
87
18
51
13
52
71
Notes:- Based on recall: Children reported as having received at least one immunization expressed as a percentage of all
children aged 12-23 months. Based on record: Children who reported having received full immunization who also have
an immunization card, expressed as a percentage of all children aged 12-23 months.
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HEALTH
NOTES:
1.
Quintiles: Income groups made on the basis of per capita household consumption.
2.
The 1st Quintile contains individuals with the lowest consumption level, whereas the 5th quintile contains individuals with the
highest consumption level.
3.
Children who reported having received full immunization who also have an immunization card, expressed as a percentage of
all children aged 12-23 months.
4.
Immunizations: To be classed as fully immunized a child must have received: ‘BCG’, ‘PENTA1’, ‘PENTA2’, ‘PENTA3’,
‘PNEUMOCOCCAL1’, ‘PNEUMOCOCCAL2’ , ‘PNEUMOCOCCAL3’, ‘Polio1’, ‘Polio2’, ‘Polio3’ and ‘Measles1,Measles
2 ’‘Hepatitis B1’, ‘Hepatitis B2’ and ‘Hepatitis B3’.
Table 2:-Percentage of children age 12-23 months that have been fully Immunized Based on Record–by Quintiles
Urban
Rural
Total
Male Female Both Male Female Both Male Female Both Pakistan
1st Quintile 64 64 64 61 67 64 62 66 64 2nd Quintile 77 72 74 71 66 69 73 68 70 3rd Quintile 89 73 81 78 77 78 82 76 79 4th Quintile 73 74 74 77 77 77 75 76 75 5th Quintile 80 79 79 76 86 81 78 82 80
Punjab
1st Quintile 85 83 84 73 76 74 75 77 76 2nd Quintile 85 82 83 81 80 81 83 80 82 3rd Quintile 89 82 86 80 80 80 83 81 82 4th Quintile 79 75 77 82 79 81 81 77 79 5th Quintile 75 73 74 80 90 85 78 81 79
Sindh
1st Quintile 58 54 56 52 61 56 53 60 56 2nd Quintile 69 59 64 57 51 54 61 55 58 3rd Quintile 94 67 79 64 75 69 80 70 75 4th Quintile 65 70 67 69 67 68 66 69 67 5th Quintile 87 91 89 83 69 75 87 86 87
Khyber Pakhtunkhwa
1st Quintile 34 40 37 58 67 63 57 65 61 2nd Quintile 59 68 64 68 61 64 67 61 64 3rd Quintile 81 75 78 84 76 80 83 76 80 4th Quintile 64 81 72 73 76 74 71 77 74 5th Quintile 71 92 81 64 85 74 66 87 75
Balochistan
1st Quintile 18 38 28 31 37 34 27 37 33 2nd Quintile 63 46 53 63 55 58 63 53 57 3rd Quintile 82 33 59 66 53 59 73 46 59 4th Quintile 43 93 74 62 68 65 56 80 68 5th Quintile 92 100 93 50 69 62 81 75 79