Evidence map›Paper›PMID 39736522›Full record

ArticleBMC pregnancy and childbirth2024

Assessing five-year trend and socio-demographic determinants of caesarean section delivery in Ghana.

Alfred Kwesi Manyeh, Anthony Ofosu, Anthony Kolsabilik Kuug, Atsu Ayi, Comfort Dede Tetteh, Saviour Edem Vidzro, Christopher Tetteh Odopey, Angela Nana Esi Ackon, Evelyn Acquah, Desmond Klu and 3 more

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Article in BMC pregnancy and childbirth, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Alfred Kwesi ManyehInstitute of Health Research, University of Health and Allied Science, Ho, Ghana. akmanyeh@uhas.edu.gh.
Anthony OfosuGhana Health Service, Accra, Ghana.
Anthony Kolsabilik KuugSchool of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana.
Atsu AyiGhana Health Service, Accra, Ghana.
Comfort Dede TettehGhana Health Service, Accra, Ghana.
Saviour Edem VidzroInstitute of Health Research, University of Health and Allied Science, Ho, Ghana.
Christopher Tetteh OdopeyInstitute of Health Research, University of Health and Allied Science, Ho, Ghana.
Angela Nana Esi AckonFred N Binka School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
Evelyn AcquahInstitute of Health Research, University of Health and Allied Science, Ho, Ghana.
Desmond KluInstitute of Health Research, University of Health and Allied Science, Ho, Ghana.
Mustapha ImmuranaInstitute of Health Research, University of Health and Allied Science, Ho, Ghana.
Maxwell Ayindenaba DalabaInstitute of Health Research, University of Health and Allied Science, Ho, Ghana.
Hubert AmuFred N Binka School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe rate of caesarean section (C-section) deliveries has been increasing globally, including in low- and middle-income countries like Ghana. Understanding the trends, patterns, and socio-demographic determinants of C-section deliveries is crucial for improving maternal healthcare services and reducing unnecessary surgical interventions. This study aims to assess the trend and factors associated with CS deliveries in Ghana using secondary data from the District Health Information Management System 2 (DHIMS-2) database.

methodsA cross-sectional study design was employed, utilizing secondary data extracted from the District Health Information Management System 2 (DHIMS-2) database covering a period of five years (2017-2021). The data included information on C-section deliveries from both public and private health facilities in Ghana. Descriptive and inferential analysis was conducted to explore the associations between socio-demographic factors and C-section delivery.

resultsThe study findings revealed that a significant proportion of women who underwent C-section deliveries had formal education up to the JHS/Middle school level. Most of the deliveries occurred in hospitals and government-owned facilities. The study also observed that more than half of the women had a C-section delivery, with the highest percentage occurring in 2019 and 2020. Additionally, the majority of women had health insurance coverage.

conclusionGhana's high C-section rate is a concern, driven by increased availability, socio-demographic factors, and regional healthcare disparities. Advanced maternal age, higher education, and formal employment increase the likelihood of C-sections. To address this, Ghana needs to strengthen antenatal care, promote natural childbirth, and improve access to quality healthcare facilities. To reduce unnecessary C-sections and enhance maternal health, Ghana should develop national guidelines, allocate resources to strengthen regional healthcare infrastructure, and launch public awareness campaigns. By implementing these strategies, Ghana can reduce C-sections by 20-30%, lower maternal morbidity and mortality rates, and improve newborn health outcomes. This will prioritize maternal health and ensure better outcomes for mothers and newborns nationwide.

Indexed as

Cesarean SectionAdolescentAdultCross-Sectional StudiesEducational StatusFemaleGhanaHumansMaternal Health ServicesPregnancySociodemographic FactorsSocioeconomic FactorsYoung AdultCaesarean section deliveriesGhanaMaternal and child healthTrend

Identifiers

PMID39736522
PMCPMC11684055

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LicenceCC BY-NC-ND
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