ArticlePloS one2019
Examining inequalities in access to delivery by caesarean section in Nigeria.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prevalence, indications, and complications of caesarean section in health facilities across Nigeria: a systematic review and meta-analysis.Reproductive health · 2023Pooled it
- Geospatial inequalities and determinants of caesarean section delivery in sub-Saharan Africa: a multi-country analysis.Global health action · 2026Article
- Prevalence, urban-rural disparity and determinants of caesarean section delivery among women delivering at health facilities in 48 low- and middle-income countries: a multilevel and decomposition analysis.BMJ global health · 2025Article
- Inequality in Utilization of Maternal Healthcare Services in Low‑ and Middle‑Income Countries: A Scoping Review of the Literature.Maternal and child health journal · 2025Article
- Caesarean section and associated factors in Nigeria: assessing inequalities between rural and urban areas-insights from the Nigeria Demographic and Health Survey 2018.BMC pregnancy and childbirth · 2024Article
- The true costs of cesarean delivery for patients in rural Rwanda: Accounting for post-discharge expenses in estimated health expenditures.International journal for equity in health · 2022Article
- Improving health and social systems for all children in LMICs: structural innovations to deliver high-quality services.Lancet (London, England) · 2022Review
- Inequalities in prevalence of birth by caesarean section in Ghana from 1998-2014.BMC pregnancy and childbirth · 2022Article
- Evolution in caesarean section practices in North Kivu: Impact of caregiver training.PloS one · 2022Article
- Inequalities in access to birth by caesarean section in the context of user fee exemption for maternal health services in southwest and north central Nigeria.International health · 2021Article
- Health-Related Quality-of-Life and Associated Factors Among Post-Partum Women in Arba Minch Town.International journal of women's health · 2021Article
- Trends and sociodemographic inequalities in the use of caesarean section in Indonesia, 1987-2017.BMJ global health · 2020Article
- Magnitude and trends in socio-economic and geographic inequality in access to birth by cesarean section in Tanzania: evidence from five rounds of Tanzania demographic and health surveys (1996-2015).Archives of public health = Archives belges de sante publique · 2020Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMaternal deaths are far too common in Nigeria, and this is in part due to lack of access to lifesaving emergency obstetric care, especially among women in the poorest strata in Nigeria. Data on the extent of inequality in access to such lifesaving intervention could convince policymakers in developing an appropriate intervention. This study examines inequality in access to births by caesarean section in Nigeria.
methodsData for 20,468 women who gave birth in the five years preceding 2013 Nigerian Demographic and Health Survey (DHS) were used for this study. Inequality in caesarean delivery was assessed using the concentration curve and multiple logistic regression models.
resultsThere was a high concentration in the utilisation of caesarean section among the women in the relatively high wealth quintile. Overall, delivery by caesarean section was 2.1%, but the rate was highest among women who had higher education and belonged to the richest wealth quintile (13.6%) and lowest among women without formal education and who belonged to the poorest wealth quintile (0.4%). Belonging to the poorest wealth quintile and having no formal education were associated with lower odds of having delivery by caesarean section.
conclusionIn conclusion, women in the richest households are within the WHO's recommended level of 10-15% for caesarean birth utilisation, but women in the poorest households are so far away from the recommended rate. Equity in healthcare is still a promise, its realisation will entail making care available to those in need not only those who can afford it.
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