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    "author": [
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          "alternateName": "Department of Fertility Studies, International Institute for Population Sciences, Mumbai, India", 
          "id": "http://www.grid.ac/institutes/grid.419349.2", 
          "name": [
            "Department of Fertility Studies, International Institute for Population Sciences, Mumbai, India"
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          "alternateName": "Department of Fertility Studies, International Institute for Population Sciences, Mumbai, India", 
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          "name": [
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    "datePublished": "2019-04-25", 
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    "description": "ObjectiveRising trends\u00a0of caesarean section (CS)\u00a0deliveries 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\u20132016 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\u00a0has increased, the rich-poor gap in access to CS remained large over time. Uneducated\u00a0mothers from poor\u00a0households and living in rural areas has still very low access to CS, below their need in many regions of India.\u00a0\u00a0This 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.", 
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        "name": "Journal of Public Health", 
        "publisher": "Springer Nature", 
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