Reliability of data on caesarean sections in developing countries

Stanton, CK; Dubourg, D; de Brouwere, V; Pujades, M; Ronsmans, C; (2005) Reliability of data on caesarean sections in developing countries. Bulletin of the World Health Organization, 83 (6). pp. 449-455. ISSN 0042-9686

Text - Published Version

Download (189kB) | Preview


Objectives To examine the reliability of reported rates of caesarean sections from developing countries and make recommendations on how data collection for surveys and health facility-based studies could be improved. Methods Population- based rates for caesarean section obtained from two sources: Demographic and Health Surveys (DHS) and health facility-based records of caesarean sections from the Unmet Obstetric Need Network, together with estimates of the number of live births, were compared for six developing countries, Sensitivity analyses were conducted using several different. definitions of the caesarean section rate, and the rates obtained from the two data sources were compared. Findings The DHS rates for caesarean section were consistently higher than the facility- based rates. However, in three quarters of the cases, the facility-based rates for caesarean sections fell within the 95% confidence intervals for the DHS estimate. Conclusions The importance of the differences between these two series of rates depends on the analyst's perspective. For national and global monitoring, DHS data on caesarean sections would suffice, although the imprecision of the rates would make the monitoring of trends difficult. However, the imprecision of DHS data on caesarean sections precludes their use for the purposes of programme evaluation at the regional level.

Item Type: Article
Keywords: cesarean section/classification/statistics, data, collection/methods, reproducibility of results, sensitivity and, specificity, developing countries, Emergency obstetric services, un process indicators, program, note, morocco, Benin, epidemiology, Burkina Faso, epidemiology, Cesarean Section, classification, utilization, Comparative Study, Data Collection, methods, Developing Countries, statistics & numerical data, Female, Haiti, epidemiology, Health Care Surveys, instrumentation, standards, Humans, Mali, epidemiology, Morocco, epidemiology, Niger, epidemiology, Research Support, Non-U.S. Gov't, Self Disclosure, Unnecessary Procedures, utilization
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Research Centre: Centre for Maternal, Reproductive and Child Health (MARCH)
Maternal Health Group
PubMed ID: 15976896
Web of Science ID: 229851000011


Download activity - last 12 months
Downloads since deposit
Accesses by country - last 12 months
Accesses by referrer - last 12 months
Additional statistics for this record are available via IRStats2

Actions (login required)

Edit Item Edit Item