A national assessment of elective cesarean sections in Bangladesh and the need for health literacy and accessibility

Abstract There has been a gradual rise in the number of cesarean sections (CSs) in Bangladesh. The present study identified the cohort of women, who were more likely to opt for an elective CS based on their sociodemographic characteristics, pre-delivery care history, and media exposure, using the Ba...

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Autores principales:	Awan Afiaz, Anowara Rayhan Arusha, Nurjahan Ananna, Enamul Kabir, Raaj Kishore Biswas
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/5461f7410e124889a78d35c7f26cea96
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spelling	oai:doaj.org-article:5461f7410e124889a78d35c7f26cea962021-12-02T16:45:46ZA national assessment of elective cesarean sections in Bangladesh and the need for health literacy and accessibility10.1038/s41598-021-96337-02045-2322https://doaj.org/article/5461f7410e124889a78d35c7f26cea962021-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-96337-0https://doaj.org/toc/2045-2322Abstract There has been a gradual rise in the number of cesarean sections (CSs) in Bangladesh. The present study identified the cohort of women, who were more likely to opt for an elective CS based on their sociodemographic characteristics, pre-delivery care history, and media exposure, using the Bangladesh Multiple Indicator Cluster Survey-2019. The survey stratification adjusted logistic regression model and interpretable machine learning method of building classification trees were utilized to analyze a sample of 9202 women, alongside district-wise heat maps. One-in-five births (20%) were elective CSs in the 2 years prior to the survey. Women residing in affluent households with educated house-heads, who accessed antenatal care prior to delivery (AOR 4.12; 95% CI 3.06, 5.54) with regular access to media (AOR 1.31; 95% CI 1.10, 1.56) and who owned a mobile phone (AOR 1.25; 95% CI 1.04, 1.50) were more likely to opt for elective CSs, which suggests that health access and health literacy were crucial factors in women’s mode of delivery. Spatial analyses revealed that women living in larger cities had more elective CS deliveries, pointing towards the availability of better health and access to multiple safe delivery options in peripheral areas.Awan AfiazAnowara Rayhan ArushaNurjahan AnannaEnamul KabirRaaj Kishore BiswasNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Awan Afiaz Anowara Rayhan Arusha Nurjahan Ananna Enamul Kabir Raaj Kishore Biswas A national assessment of elective cesarean sections in Bangladesh and the need for health literacy and accessibility
description	Abstract There has been a gradual rise in the number of cesarean sections (CSs) in Bangladesh. The present study identified the cohort of women, who were more likely to opt for an elective CS based on their sociodemographic characteristics, pre-delivery care history, and media exposure, using the Bangladesh Multiple Indicator Cluster Survey-2019. The survey stratification adjusted logistic regression model and interpretable machine learning method of building classification trees were utilized to analyze a sample of 9202 women, alongside district-wise heat maps. One-in-five births (20%) were elective CSs in the 2 years prior to the survey. Women residing in affluent households with educated house-heads, who accessed antenatal care prior to delivery (AOR 4.12; 95% CI 3.06, 5.54) with regular access to media (AOR 1.31; 95% CI 1.10, 1.56) and who owned a mobile phone (AOR 1.25; 95% CI 1.04, 1.50) were more likely to opt for elective CSs, which suggests that health access and health literacy were crucial factors in women’s mode of delivery. Spatial analyses revealed that women living in larger cities had more elective CS deliveries, pointing towards the availability of better health and access to multiple safe delivery options in peripheral areas.
format	article
author	Awan Afiaz Anowara Rayhan Arusha Nurjahan Ananna Enamul Kabir Raaj Kishore Biswas
author_facet	Awan Afiaz Anowara Rayhan Arusha Nurjahan Ananna Enamul Kabir Raaj Kishore Biswas
author_sort	Awan Afiaz
title	A national assessment of elective cesarean sections in Bangladesh and the need for health literacy and accessibility
title_short	A national assessment of elective cesarean sections in Bangladesh and the need for health literacy and accessibility
title_full	A national assessment of elective cesarean sections in Bangladesh and the need for health literacy and accessibility
title_fullStr	A national assessment of elective cesarean sections in Bangladesh and the need for health literacy and accessibility
title_full_unstemmed	A national assessment of elective cesarean sections in Bangladesh and the need for health literacy and accessibility
title_sort	national assessment of elective cesarean sections in bangladesh and the need for health literacy and accessibility
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/5461f7410e124889a78d35c7f26cea96
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A national assessment of elective cesarean sections in Bangladesh and the need for health literacy and accessibility

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