Differences in the prevalence of cesarean section and associated factors in private and public healthcare systems in Peru
| dc.date.accessioned | 2023-04-05T12:45:42Z | |
| dc.date.available | 2023-04-05T12:45:42Z | |
| dc.date.issued | 2020 | |
| dc.description.abstract | Background: Cesarean section rates have been steadily increasing worldwide. Private health facilities are reported as being a major contributor to this rising rate in Latin America. Aim: To assess the prevalence and determinants of cesarean section rates among public and private health facilities in Peru. Methods: We performed a cross-sectional analytical study pooling the data of 52,215 women between 15 and 49 years of age from the 2015–2017 Peruvian Demographic and Family Health Survey (ENDES) database. Sociodemographic and pregnancy-related variables were used to construct adjusted logistic regression models for the indication of cesarean section. Findings: The prevalence of cesarean births was 73.0% (95%CI: 71.1–74.9) and 30.3% (95% CI: 29.6–31.0) in private and public health facilities, respectively. In private facilities, living in an urban area, having a higher educational level, being in the age group of 35–49 years, and having multiple pregnancies increased the probability of a cesarean section. In public health facilities, living in an urban area, having a higher wealth quintile, higher education level, older maternal age, birth order, newborn size and gender, type of pregnancy, language, and maternal height were all factors associated with cesarean section. Conclusion: The prevalence of cesarean section found in the present study was above the value recommended by the WHO (10%) for both public and private facilities. It is necessary to address the indiscriminate rise in the use of cesarean sections, developing strategies according to the type of health facility. © 2020 | |
| dc.identifier.issn | 18775756 | |
| dc.identifier.uri | https://doi.org/10.1016/j.srhc.2020.100570 | |
| dc.identifier.uri | http://146.190.124.33/handle/123456789/5785 | |
| dc.language.iso | eng | es_ES |
| dc.publisher | Elsevier B.V. | es_ES |
| dc.source | Water (Switzerland); Vol. 14 Núm. 15 | |
| dc.title | Differences in the prevalence of cesarean section and associated factors in private and public healthcare systems in Peru | es_ES |
| dc.type | info:eu-repo/semantics/article | es_ES |
| dc.type.version | info:eu-repo/semantics/publishedVersion |