Title:
Factors contributing to increasing caesarean section rates in Uganda: a literature review
Authors:
Ssemaganda, Elijah
Place:
Amsterdam, The Netherlands
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2023
PAGE:
viii, 38
Language:
En
Subject:
Maternal Health – Lessons Learned
Abstract:
Background: Ugandan and global Caesarean section (C/S) rates have been increasing in the last few decades but rates above 10% are not associated with better maternal and neonatal outcomes. Whereas the current national C/S rate for Uganda stands at 6.2%, health facility rates exceeding 90% in some private care facilities have been reported. This points to potential overuse of the procedure and may be contributing to poor maternal and neonatal health indicators in a resource-limited country with inadequate health sector funding. Research Aim: To identify causes of rising C/S rates in Uganda and propose ways of reducing unnecessary C/S. Methods: A review of the literature published in English between 2000 and 2023 from databases including Google Scholar, PubMed and VU Library, search engines like Google as well as organisational websites such as WHO, World Bank and the Ugandan Ministry of Health. Ghosh’s adapted analytical framework was used to structure and present the results. Results: Financial motivation, poor clinical care decisions, the poorly-monitored and expanding private health sector, women’s higher socio-economic status, increasing maternal obesity and use of herbal remedies contribute to high C/S rates. Gender, the media, litigation fears, maternal age and parity were indeterminate factors affecting C/S rates. Cultural belief and TBA have mitigating Conclusion and recommendations: Unnecessary C/S need to be reduced or eliminated using a multi-faceted strategy to free up resources and optimize maternal and neonatal health service delivery in Uganda.
Organization:
KIT - Royal Tropical Institute , VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Country:
Uganda
Region:
East Africa
Training:
Master of Science in Public Health
Category:
Research
Right:
@ 2023 Ssemaganda
Document type:
Thesis/dissertation
File:
FTdf5Ilvii_2023112213212686.pdf