ArticleBMC public health2025
Prevalence and factors associated with caesarean section among Tanzanian women of reproductive age: evidence from the 2022 Tanzania demographic and health survey data.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Prevalence, socio-demographic, obstetric, nutritional and birth factors associated with C-section among mothers attending primary health care facilities in selected councils of Njombe Region, Tanzania; Facility based cross-sectional analytical study.Maternal health, neonatology and perinatology · 2026Article
- How many women in East Africa suffer from iatrogenic fistula after caesarean birth?BMJ global health · 2026Article
- Understanding the underuse: Barriers to vacuum-assisted birth among clinicians in Tanzania: An exploratory qualitative study.PloS one · 2026Article
- Prevalence and determinants of caesarean section delivery in Ethiopia: analysis of the 2019 EMDHS using Poisson regression with robust standard errors.BMC women's health · 2025Article
- Prevalence and Determinants of Caesarean Section Deliveries in Ghana: A Population-Based Cross-sectional Study.Public health in practice (Oxford, England) · 2025Article
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Abstract
backgroundCaesarean Section (CS) is one of the commonest surgical procedures worldwide. It is an important medical intervention for reducing the risk of poor perinatal outcomes. However, there was increased trends in CS in sub-Saharan Africa as maternal and neonatal mortality and morbidity remains high. This study aims to determine the prevalence and factors associated with CS rates in Tanzania. METHODOLOGY: This was a secondary data analysis of 4,768 women of reproductive age (15-49) in Tanzania. The data utilized was from the Tanzania Demographic Health and Survey (TDHS) 2022. The factors associated with CS were identified using multivariable binary logistic regression.
resultsOut of 4,768 women of reproductive age in Tanzania, 497 (10.4%) had CS. Attaining primary (Adjusted Odds Ratio (aOR): 1.79,95% CI 1.23-2.60), secondary (aOR:2.07,95% CI 1.36-3.14) and higher education (aOR: 2.35, 95% CI 1.08-5.12); having a husband/partner with higher education; being in richest household wealth quintile (aOR:1.98,95% CI (1.31-3.00), having a job (aOR:1.29, 95% CI: 1.05-1.58 and having attended more than 4 antenatal care (ANC) visits (aOR: 1.36, 95% CI: 1.11-1.67) were associated with a higher odds of undergoing CS compared to their respective counterparts. However, living in rural areas (aOR: 0.74, 95% CI:0.58-0.94), being multiparous women with 2-4 births (aOR: 0.67, 95% CI: 0.53-0.84) and 5 or more births (aOR: 0.44, 95% CI: 0.32-0.60) were associated with lower odds of CS.
conclusionThe overall prevalence of CS among women of reproductive age in Tanzania was 10.4%. The highest educational level, husband/partner's educational attainment, household wealth quintile, type of residence, employment status, increased ANC number, and high parity were associated with CS. The CS prevalence is at the lower limit of the recommendation of the World Health Organisation of 10-15%. Further researches are necessary to highlight other barriers, facilitators and outcome of CSs in Tanzania to advise policy stakeholders.
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