دورية أكاديمية
Spatial and temporal trends of cesarean deliveries in Uganda: 2012-2016.
| العنوان: | Spatial and temporal trends of cesarean deliveries in Uganda: 2012-2016. |
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| المؤلفون: | Atuheire EB; Uganda Public Health Fellowship Program, P.O. Box 7272, Kampala, Uganda. eatuheire@musph.ac.ug.; Reproductive Health Division, Ministry of Health, Kampala, Uganda. eatuheire@musph.ac.ug., Opio DN; Uganda Public Health Fellowship Program, P.O. Box 7272, Kampala, Uganda., Kadobera D; Uganda Public Health Fellowship Program, P.O. Box 7272, Kampala, Uganda., Ario AR; Uganda Public Health Fellowship Program, P.O. Box 7272, Kampala, Uganda., Matovu JKB; Makerere University School of Public Health, Kampala, Uganda., Harris J; US Centers for Disease Control and Prevention, Atlanta, USA., Bulage L; Uganda Public Health Fellowship Program, P.O. Box 7272, Kampala, Uganda.; African Field Epidemiology Network, Kampala, Uganda., Nakiganda B; Reproductive Health Division, Ministry of Health, Kampala, Uganda., Tumwesigye NM; Makerere University School of Public Health, Kampala, Uganda., Zhu BP; US Centers for Disease Control and Prevention, Kampala, Uganda., Kaharuza F; African Field Epidemiology Network, Kampala, Uganda. |
| المصدر: | BMC pregnancy and childbirth [BMC Pregnancy Childbirth] 2019 Apr 16; Vol. 19 (1), pp. 132. Date of Electronic Publication: 2019 Apr 16. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 100967799 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2393 (Electronic) Linking ISSN: 14712393 NLM ISO Abbreviation: BMC Pregnancy Childbirth Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, [2001- |
| مواضيع طبية MeSH: | Cesarean Section/*trends , Health Facilities/*statistics & numerical data , Health Services Accessibility/*statistics & numerical data , Maternal Health Services/*trends , Medical Overuse/*trends, Adult ; Female ; Humans ; Infant, Newborn ; Pregnancy ; Spatio-Temporal Analysis ; Uganda ; Young Adult |
| مستخلص: | Background: Cesarean section (CS) is an important intervention in complicated births when the safety of the mother or baby is compromised. Despite worldwide concerns about the overutilization of CS in recent years, many African women and their newborns still die because of limited or no access to CS services. We evaluated temporal and spatial trends in CS births in Uganda and modeled future trends to inform programming. Methods: We performed secondary analysis of total births data from the Uganda National Health Management Information System (HMIS) reports during 2012-2016. We reviewed data from 3461 health facilities providing basic, essential obstetric and emergency obstetric care services in all 112 districts. We defined facility-based CS rate as the proportion of cesarean deliveries among total live births in facilities, and estimated the population-based CS rate using the total number of cesarean deliveries as a proportion of annual expected births (including facility-based and non-facility-based) for each district. We predicted CS rates for 2021 using Generalised Linear Models with Poisson family, Log link and Unbiased Sandwich Standard errors. We used cesarean deliveries as the dependent variable and calendar year as the independent variable. Results: Cesarean delivery rates increased both at facility and population levels in Uganda. Overall, the CS rate for live births at facilities was 9.9%, increasing from 8.5% in 2012 to 11% in 2016. The overall population-based CS rate was 4.7%, and increased from 3.2 to 5.9% over the same period. Health Centre IV level facilities had the largest annual rate of increase in CS rate between 2012 and 2016. Among all 112 districts, 80 (72%) had a population CS rate below 5%, while 38 (34%) had a CS rate below 1% over the study period. Overall, Uganda's facility-based CS rate is projected to increase by 36% (PRR 1.36, 95% CI 1.35-1.36) in 2021 while the population-based CS rate is estimated to have doubled (PRR 2.12, 95% CI 2.11-2.12) from the baseline in 2016. Conclusion: Cesarean deliveries are increasing in Uganda. Health center IVs saw the largest increases in CS, and while there was regional heterogeneity in changes in CS rates, utilization of CS services is inadequate in most districts. We recommend expansion of CS services to improve availability. |
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| فهرسة مساهمة: | Keywords: Cesarean deliveries; Cesarean section rate; Trends; Uganda |
| تواريخ الأحداث: | Date Created: 20190418 Date Completed: 20190906 Latest Revision: 20200225 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC6469217 |
| DOI: | 10.1186/s12884-019-2279-6 |
| PMID: | 30991975 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1471-2393 |
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| DOI: | 10.1186/s12884-019-2279-6 |