ehealth digital library

Digital library of
the Tanzania
health
community

Trends in and Socio-demographic Factors Associated with Caesarean Section at a Tanzanian Referral Hospital, 2000 to 2013.

Nilsen, C., Østbye, T., Daltveit, A. K., Mmbaga, B. T. and Sandøy, I. F. (2014) Trends in and Socio-demographic Factors Associated with Caesarean Section at a Tanzanian Referral Hospital, 2000 to 2013. International journal for equity in health, 13. p. 87. ISSN 1475-9276

[img]
Preview
PDF
Cecilie_Nilsen.pdf - Published Version
Available under License Creative Commons Attribution Non-commercial.

Download (485kB)

Abstract

Caesarean section (CS) can prevent maternal or fetal complications. Sub-Saharan Africa has the lowest CS levels in the world but large variations are seen between and within countries. The tertiary hospital, Kilimanjaro Christian Medical Centre (KCMC) in Tanzania has had a high level of CS over years. The aim of this study was to examine trends in the socio-demographic background of babies born at KCMC from year 2000 to 2013, and trends in the CS percentage, and to identify socio-demographic factors associated with CS at KCMC during this period. This is a registry-based study. The analyses were limited to singletons born by women from Moshi urban and rural districts. The Chi square test for linear trend was used to examine trends in the CS percentage and trends in the socio-demographic background of the baby. The association between different socio-demographic factors and CS was assessed using logistic regression. The analyses were stratified by the mother's residence. The educational level of mothers and fathers and the age of the mothers of singletons born at KCMC increased significantly from year 2000 to 2013 both among urban and rural residents. Among 29,752 singletons, the overall CS percentage was 28.9%, and there was no clear trend in the overall CS percentage between 2000 and 2013. In the multivariable model, factors associated with higher odds of CS were: having been referred for delivery, maternal age above 25 and no- or primary education level of the baby's father. Among rural mothers, no- or primary education, being from the Pare tribe and para 2-3 were also associated with higher odds of CS. Being from the Chagga tribe and high parity were associated with lower odds of CS compared to other tribes and parity 1. The CS percentage remained high but stable over time. Large variations in CS levels between different socio-demographic groups were observed. The educational level of the parents of babies born at KCMC increased over time, possibly reflecting persistent inequitable access to the services offered at the hospital.

Item Type: Article
Keywords: Caesarean section, Referral hospital, Maternal, Fetal complications, Tanzania
Subjects: Health Systems > Community Health
Maternal & Neonatal Health > Maternal Mortality & Morbidity
Divisions: Kilimanjaro Christian Medical Centre
Depositing User: Mr Joseph Madata
Date Deposited: 08 Dec 2014 09:26
Last Modified: 08 Dec 2014 09:26
URI: http://ihi.eprints.org/id/eprint/2978

Actions (login required)

Edit Item Edit Item

Downloads

Downloads per month over past year

View more statistics