ArticleBMC pregnancy and childbirth2019
Spatial and temporal trends of cesarean deliveries in Uganda: 2012-2016.
Article in BMC pregnancy and childbirth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pregnancy and neonatal outcomes in Eastern Democratic Republic of the Congo: a systematic review.Frontiers in global women's health · 2024Pooled it
- Impact of a surgical sponsorship program on compliance with decision-to-delivery intervals in rural hospitals in Uganda.BMC pregnancy and childbirth · 2026Article
- Postpartum anemia and associated factors among caesarean section women in West Gojjam zone Ethiopia 2023.Scientific reports · 2025Article
- Multilevel and spatial analysis of factors influencing non-institutional delivery care utilization among Ugandan women: insights from the 2016 UDHS.BMC public health · 2025Article
- Patient Counseling Strategies at Female Genital Fistula Repair: A Qualitative Study among Ugandan Fistula Care Providers.Research square · 2025Article
- 'They just told me to go to theatre': women's experiences and support needs following emergency caesarean section in Kawempe National referral hospital, Uganda.BMC pregnancy and childbirth · 2025Article
- Initiation of breastfeeding among mothers attending a regional referral hospital in central uganda: a cross-sectional study.Archives of public health = Archives belges de sante publique · 2025Article
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- Iatrogenic Female Genitourinary Fistula in Uganda: Etiology, Twelve-Year Trends, and Risk Factors for Development Following Cesarean Section.International journal of women's health · 2024Article
- Factors Associated with High Rates of Caesarean Deliveries: A Cross Sectional Study Classifying Deliveries According to Robson in Mengo Hospital Kampala.Risk management and healthcare policy · 2023Article
- Determinants of a high prevalence of cesarean section among women in eastern Uganda.The Pan African medical journal · 2023Article
- Geospatial analysis of cesarean section in Iran (2016-2020): exploring clustered patterns and measuring spatial interactions of available health services.BMC pregnancy and childbirth · 2022Article
- Stillbirth, neonatal and maternal mortality among caesarean births in Kenya and Uganda: a register-based prospective cohort study.BMJ open · 2022Article
- Short interbirth interval and associated factors among women with antecedent cesarean deliveries at a tertiary hospital, Southwestern Uganda.BMC pregnancy and childbirth · 2022Article
- Prevalence and factors associated with severe anaemia post-caesarean section at a tertiary Hospital in Southwestern Uganda.BMC pregnancy and childbirth · 2021Article
- Rationale of indications for caesarean delivery and associated factors among primigravidae in Tanzania.Journal of Taibah University Medical Sciences · 2021Article
- Prevalence, Indications, and Community Perceptions of Caesarean Section Delivery in Ngora District, Eastern Uganda: Mixed Method Study.Obstetrics and gynecology international · 2020Article
- Comparing visual estimation and hematocrit change in the assessment of blood loss among women undergoing cesarean delivery in a tertiary facility in northern Uganda.Therapeutic advances in reproductive healthArticle
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11 authors.
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Abstract
backgroundCesarean 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.
methodsWe 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.
resultsCesarean 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.
conclusionCesarean 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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