A national assessment of elective cesarean sections in Bangladesh and the need for health literacy and accessibility

Afiaz, Awan and Arusha, Anowara Rayhan and Ananna, Nurjahan and Kabir, Enamul ORCID: https://orcid.org/0000-0002-6157-2753 and Biswas, Raaj Kishore (2021) A national assessment of elective cesarean sections in Bangladesh and the need for health literacy and accessibility. Scientific Reports, 11 (1):16854. pp. 1-12.

[img]
Preview
Text (Published Version)
scientific reports.pdf
Available under License Creative Commons Attribution 4.0.

Download (5MB) | Preview

Abstract

There has been a gradual rise in the number of cesarean sections (CSs) in Bangladesh. The present study identified the cohort of women, who were more likely to opt for an elective CS based on their sociodemographic characteristics, pre-delivery care history, and media exposure, using the Bangladesh Multiple Indicator Cluster Survey-2019. The survey stratification adjusted logistic regression model and interpretable machine learning method of building classification trees were utilized to analyze a sample of 9202 women, alongside district-wise heat maps. One-in-five births (20%) were elective CSs in the 2 years prior to the survey. Women residing in affluent households with educated house-heads, who accessed antenatal care prior to delivery (AOR 4.12; 95% CI 3.06, 5.54) with regular access to media (AOR 1.31; 95% CI 1.10, 1.56) and who owned a mobile phone (AOR 1.25; 95% CI 1.04, 1.50) were more likely to opt for elective CSs, which suggests that health access and health literacy were crucial factors in women's mode of delivery. Spatial analyses revealed that women living in larger cities had more elective CS deliveries, pointing towards the availability of better health and access to multiple safe delivery options in peripheral areas.


Statistics for USQ ePrint 43744
Statistics for this ePrint Item
Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Faculty/School / Institute/Centre: Historic - Faculty of Health, Engineering and Sciences - School of Sciences (6 Sep 2019 - 31 Dec 2021)
Faculty/School / Institute/Centre: Historic - Faculty of Health, Engineering and Sciences - School of Sciences (6 Sep 2019 - 31 Dec 2021)
Date Deposited: 06 Oct 2021 23:32
Last Modified: 08 Sep 2022 05:19
Uncontrolled Keywords: risk-factors; delivery; rates; care; incontinence; definition; preference; campaign; access
Fields of Research (2008): 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified
Fields of Research (2020): 42 HEALTH SCIENCES > 4206 Public health > 420699 Public health not elsewhere classified
Socio-Economic Objectives (2008): C Society > 92 Health > 9299 Other Health > 929999 Health not elsewhere classified
Identification Number or DOI: https://doi.org/10.1038/s41598-021-96337-0
URI: http://eprints.usq.edu.au/id/eprint/43744

Actions (login required)

View Item Archive Repository Staff Only