Determinants of caesarean section rates in private-not-for-profit healthcare facilities: St. Joseph’s Hospital_ Kitovu
Date
2021-06-27
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Taylor and Francis
Abstract
Caesarean delivery, often called a C-section, is the delivery of the baby
through incisions in the mother’s abdomen and uterus. Caesarean deliveries,
whether elective or medically necessary, have risen dramatically in recent decades
across the globe, more than the recommended 10–15% by WHO. To determine the
mean CSR, ascertain the determinants of Caesarean Section and attitudes of managers toward monitoring and evaluation C-Section. It was descriptive and analytical
cross-sectional study design, both qualitative and quantitative. 318 respondent
mothers who were admitted to Maternity ward or deliver from the said ward were
interviewed. Document review guide, interview guides, and semi-structured questionnaires were used. The study found the Average CSR for St. Joseph’s Hospital _
Kitovu was 47.6%. Determinants associated or which influenced Caesarean delivery
were; Age of respondent less than 20 years (p = .041), not being married (p = .015),
educational level of respondents (p = .000), living in urban setting (p = .001), among
others. Socio-economic determinants (regular household income, p = .000, and
occupation, p = .000) highly influenced caesarean delivery. There were mixed views
of the health manager toward regularizing monitoring and evaluation of Caesarean
Section Rates (CSR). The Caesarean Section Rate (47.6%) in Private Not-For Profit Healthcare organization is still unacceptably higher WHO recommendation of
10–15%. Therefore, there is stronger need to regularize monitoring and evaluation
of CSR.
Description
Keywords
Caesarean Section Rates (CSR), Gravidity, Parity, Multigravida, Prime-gravida, Nulliparous