Rising extent of caesarean delivery and its differential access in regions of India 2005–2016 View Full Text


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Article Info

DATE

2019-04-25

AUTHORS

Basant Kumar Panda, Udaya S. Mishra, Sanjay K. Mohanty

ABSTRACT

ObjectiveRising trends of caesarean section (CS) deliveries has been a public health concern in India. This rising trend would suggest greater access to delivery care for all women across the socio-economic spectrum and this emergency obstetric procedure being accessible to those in need more than to those who can afford it. This article examines the extent of variations in accessing this procedure across regions and population subgroups in India.Subjects and methodsWe used the two waves of the National Family Health Surveys (NFHSs) conducted in India during 2005–2016 to understand the changing pattern and inequality in access to CS delivery in regions of India. Descriptive statistics were used to understand the level of CS rates whereas absolute difference methods, ratio methods and the concentration index were used to understand the equity in access to this procedure.ResultsThe study observes high and declining regional inequality in access to CS in India. Though the CS rate has increased, the rich-poor gap in access to CS remained large over time. Uneducated mothers from poor households and living in rural areas has still very low access to CS, below their need in many regions of India. This offers evidence concerning the overuse of this procedure among the privileged socio-economic group and underuse among the deprived, suggesting unequal access to this procedure.ConclusionThe study provides evidence of unequal access to CS utilisation among the poorest households and uneducated mothers. Regulatory protocols are needed to bridge this divide in access to this procedure which can be part of safe maternity. More... »

PAGES

595-604

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10389-019-01066-4

DOI

http://dx.doi.org/10.1007/s10389-019-01066-4

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https://app.dimensions.ai/details/publication/pub.1113704394


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