ArticleInternational journal for equity in health2019
Socioeconomic inequalities in the use of caesarean section delivery in Ghana: a cross-sectional study using nationally representative data.
Article in International journal for equity in health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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Who cites it
33 citing papers in PubMed.
- Who gets to deliver in a health facility? An investigation of wealth-based inequities in institutional delivery in Ghana.BMJ open · 2026Article
- Evidence on prevalence of caesarean sections and factors influencing uptake in Ghana: a scoping review.Reproductive health · 2026Article
- Prevalence and Determinants of Caesarean Section Deliveries in Ghana: A Population-Based Cross-sectional Study.Public health in practice (Oxford, England) · 2025Article
- The Rising Global Cesarean Section Rates and Their Impact on Maternal and Child Health: A Scoping Review.Journal of clinical medicine · 2025Review
- 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
- Prevalence and factors associated with caesarean section among Tanzanian women of reproductive age: evidence from the 2022 Tanzania demographic and health survey data.BMC public health · 2025Article
- Geographically weighted regression analysis of cesarean delivery using the Ethiopian Mini Demographic and Health Survey 2019.Scientific reports · 2025Article
- Caesarean section delivery and its associated factors in Ghana: A multilevel analysis.PloS one · 2025Article
- State-wise variation and inequalities in caesarean delivery rates in India: analysis of the National Family Health Survey-5 (2019-2021) data.The Lancet regional health. Southeast Asia · 2025Article
- Assessing five-year trend and socio-demographic determinants of caesarean section delivery in Ghana.BMC pregnancy and childbirth · 2024Article
- Spatial and Socioeconomic Inequalities in Cesarean Section Deliveries in Urban Settings in Dakar, Senegal.Journal of urban health : bulletin of the New York Academy of Medicine · 2024Article
- Strengthening caesarean birth: Sub-Saharan Africa health system evaluation: Scoping review.African journal of primary health care & family medicine · 2024Article
- Socioeconomic and geographical inequalities in delivery by cesarean section among women in Bangladesh, 2004-2017.BMC pregnancy and childbirth · 2024Article
- Assessing the inequalities in demand for family planning satisfied in Ghana: evidence from the 1993-2014 Demographic and Health Surveys.International health · 2024Article
- A log-binomial Bayesian geoadditive semiparametric analysis of geographical inequalities in caesarean births in Ghana.BMC pregnancy and childbirth · 2023Article
- Low-Value Surgical Procedures in Low- and Middle-Income Countries: A Systematic Scoping Review.JAMA network open · 2023Article
- Variations in the prevalence of caesarean section deliveries in India between 2016 and 2021 - an analysis of Tamil Nadu and Chhattisgarh.BMC pregnancy and childbirth · 2023Article
- Prevalence and determinants of caesarean section deliveries in the Kintampo Districts of Ghana.BMC pregnancy and childbirth · 2023Article
- An assessment of out of pocket payments in public sector health facilities under the free maternal healthcare policy in Ghana.Health economics review · 2023Article
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Abstract
backgroundInappropriate use of Caesarean Section (CS) delivery is partly to blame for Ghana's high maternal mortality rate. However, previous research offered mixed findings about factors associated with CS use. The goal of this study is to examine use of CS in Ghana and the socioeconomic factors associated with it.
methodsData from the nationally representative 2014 Ghana Demographic and Health Survey (GDHS) was used after permission from the Monitoring and Evaluation to Assess and Use Results (MEASURE) Demographic and Health Survey (DHS) program. Univariable and multivariable logistic regression models were fitted to examine the socioeconomic inequalities in CS use. The independent variables included maternal age, marital status, religion, ethnicity, education, place of residence, wealth quintile, and working status. Concentration index (CI) and rate-ratios were computed to ascertain the level of CS inequalities.
resultsOut of the 4294 women, 11.4% had CS delivery. However, the percentage of CS delivery ranged from 5% of women in the poorest quintile to 27.5% of women in the richest qunitle. Significant associations were detected between CS delivery and maternal age, parity, education, and wealth quintile .
conclusionsThis study revealed that first, even though Ghana has achieved an aggregate CS rate consistent with WHO recommendations, it still suffers from inequities in the use of CS. Second, both underuse of CS among poorer women in Ghana and overuse among rich and educated women are public health concerns that need to be addressed. Third, the results show in spite of Ghana's free maternal care services policies, wealth status of women continues to be strongly and signtificantly associated with CS delivery, indicating that there are indirect health care costs and other reasons preventing poorer women from having access to CS which should be understood better and addressed with appropriate policies.
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