A national assessment of elective cesarean sections in Bangladesh and the need for health literacy and accessibility
Article
Article Title | A national assessment of elective cesarean sections in Bangladesh and the need for health literacy and accessibility |
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ERA Journal ID | 201487 |
Article Category | Article |
Authors | Afiaz, Awan (Author), Arusha, Anowara Rayhan (Author), Ananna, Nurjahan (Author), Kabir, Enamul (Author) and Biswas, Raaj Kishore (Author) |
Journal Title | Scientific Reports |
Journal Citation | 11 (1), pp. 1-12 |
Article Number | 16854 |
Number of Pages | 12 |
Year | 2021 |
Publisher | Nature Publishing Group |
Place of Publication | Berlin, Germany |
ISSN | 2045-2322 |
Digital Object Identifier (DOI) | https://doi.org/10.1038/s41598-021-96337-0 |
Web Address (URL) | https://www.nature.com/articles/s41598-021-96337-0 |
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. |
Keywords | risk-factors; delivery; rates; care; incontinence; definition; preference; campaign; access |
ANZSRC Field of Research 2020 | 420699. Public health not elsewhere classified |
Byline Affiliations | University of Dhaka, Bangladesh |
Ibrahim Medical College, Bangladesh | |
School of Sciences | |
University of New South Wales | |
Institution of Origin | University of Southern Queensland |
https://research.usq.edu.au/item/q6qx0/a-national-assessment-of-elective-cesarean-sections-in-bangladesh-and-the-need-for-health-literacy-and-accessibility
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