- Gender
- Health
- Poverty
- Journal Article
Double burden of malnutrition among women of reproductive age in 55 low- and middle-income countries: Progress achieved and opportunities for meeting the global target
Published: 2021
Objective
To provide updated information about between-country variations, temporal trends and changes in inequalities within countries in caesarean delivery (CD) rates.
Design
Cross-sectional study of Demographic and Health Survey (DHS) during 1990–2018.
Setting
74 low- and middle-income countries (LMICs).
Population
Women 15–49 years of age who had live births in the last 3 years.
Methods
Bayesian linear regression analysis was performed and absolute differences were calculated.
Main outcome measure
Population-level CD by countries and sociodemographic characteristics of mothers over time.
Results
CD rates, based on the latest DHS rounds, varied substantially between the study countries, from 1.5% (95% CI 1.1–1.9%) in Madagascar to 58.9% (95% CI 56.0–61.6%) in the Dominican Republic. Of 62 LMICs with at least two surveys, 57 countries showed a rise in CD during 1990–2018, with the greatest increase in Sierra Leone (19.3%). Large variations in CD rates were observed across mother’s wealth, residence, education and age, with a higher rate of CD by the richest and urban mothers. These inequalities have widened in many countries. Stratified analyses suggest greater provisioning of CD by the richest mothers in private facilities and poorest mothers in public facilities.
Conclusions
CD rates varied substantially across geographical locations and over time, irrespective of public or private health facilities. Changes in CD rates continue across wealth, place of residence, education, and age of mother, and are widening in most study countries.
Hasan, M. M., Ahmed, S., Magalhaes, R. S., Begum, T., Fatima, Y., & Mamun, A. A. (2021). Temporal trends in between and within-country inequalities in caesarean delivery in low- and middle-income countries: A Bayesian analysis. BJOG: An International Journal of Obstetrics & Gynaecology. https://doi.org/10.1111/1471-0528.16744
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Please see https://lifecoursecentre.org.au/publications/temporal-trends-in-between-and-within-country-inequalities-in-caesarean-delivery-in-low-and-middle-income-countries-a-bayesian-analysis/ for the latest version.
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