Individual and community-level factors associated with caesarean section in Haiti: secondary analysis of data from the 2016–2017 Haitian Demographic and Health Survey
Abstract Introduction For several decades, the rate of caesarean section (CS) has been increasing in the world. In some countries, the CS rate is below the WHO recommended range (10–15%), while in other countries, it is significantly higher. The aim of this paper was to identify individual and commu...
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| Format: | Article |
| Language: | English |
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BMC
2023-04-01
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| Series: | Tropical Medicine and Health |
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| Online Access: | https://doi.org/10.1186/s41182-023-00513-z |
| _version_ | 1797840781289979904 |
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| author | David Jean Simon Stanley Jean-Baptiste Roodjmie Nazaire Ghislaine Joseph Joseph Arcelin Carmil Fanor Joseph Vénunyé Claude Kondo Tokpovi |
| author_facet | David Jean Simon Stanley Jean-Baptiste Roodjmie Nazaire Ghislaine Joseph Joseph Arcelin Carmil Fanor Joseph Vénunyé Claude Kondo Tokpovi |
| author_sort | David Jean Simon |
| collection | DOAJ |
| description | Abstract Introduction For several decades, the rate of caesarean section (CS) has been increasing in the world. In some countries, the CS rate is below the WHO recommended range (10–15%), while in other countries, it is significantly higher. The aim of this paper was to identify individual and community-level factors associated with CS in Haiti. Methods Secondary data analysis was conducted on nationally representative cross-sectional survey data from the 2016–2017 Haitian Demographic and Health Survey (HDHS). The analysis was restricted to 6303 children born in 5 years prior the survey (of the interviewed women). The study population’ characteristics, and the prevalence of CS were analysed using descriptive analysis (univariate/bivariate). In addition, multilevel binary logistic regression analysis was performed to identify factors associated with CS. Both descriptive and multivariate analysis were conducted using STATA 16.0 software (Stata Corp, Tex, USA). Statistical significance was declared at p < 0.05. Results The overall prevalence of CS delivery was estimated at 5.4% (95% CI 4.8–6.0) in Haiti. Results also revealed that mothers aged 35 and above (aOR = 1.38; 95% CI 1.00–1.96); who attended secondary (aOR = 1.95; 95% CI 1.39–2.76) and higher education level (aOR = 3.25; 95% CI 1.92–5.49); who were covered by health insurance (aOR = 2.57; 95% CI 1.57–4.19); with less than 3 children (aOR = 4.13; 95% CI 2.18–7.85) or 3–4 children (aOR = 2.07; 95% CI 1.09–3.94); who received 9 or more antenatal visits (aOR = 2.21; 95% CI 1.40–3.50) were significantly more likely to deliver by CS. Children in communities with high preponderance of private health facilities had greater odds to be delivered through CS (aOR = 1.90; 95% CI 1.25–2.85). Furthermore, children with an average birth weight (aOR = 0.66; 95% CI 0.48–0.91) were less likely to be delivered through CS than their counterparts with high birth weight. Conclusions While the CS prevalence was low in Haiti, it masks significant geographic, social and economic disparities. To better develop and implement maternal and child health programs that address CS deliveries, the government authorities and NGOs operating in the field of women’s health in Haiti should take these disparities into account. |
| first_indexed | 2024-04-09T16:20:16Z |
| format | Article |
| id | doaj.art-52bc3435eda0477288ecab119e0c7307 |
| institution | Directory Open Access Journal |
| issn | 1349-4147 |
| language | English |
| last_indexed | 2024-04-09T16:20:16Z |
| publishDate | 2023-04-01 |
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| series | Tropical Medicine and Health |
| spelling | doaj.art-52bc3435eda0477288ecab119e0c73072023-04-23T11:28:41ZengBMCTropical Medicine and Health1349-41472023-04-0151111010.1186/s41182-023-00513-zIndividual and community-level factors associated with caesarean section in Haiti: secondary analysis of data from the 2016–2017 Haitian Demographic and Health SurveyDavid Jean Simon0Stanley Jean-Baptiste1Roodjmie Nazaire2Ghislaine Joseph3Joseph Arcelin Carmil4Fanor Joseph5Vénunyé Claude Kondo Tokpovi6Bureau d’Etudes et de Recherche en Statistiques Appliquées, Suivi et Evaluation (BERSA-SE)Universidad de Santiago de ChileUniversité d’Etat d’Haïti (UEH), Faculté de Médecine et de Pharmacie (FMP)Centre de Recherche Cultures Arts Sociétés (CELAT), University of LavalUniversité de Bordeaux, UMR PassagesBureau d’Etudes et de Recherche en Statistiques Appliquées, Suivi et Evaluation (BERSA-SE)Groupe de Recherche sur l’inadaptation Psychosociale (GRIP), University of LavalAbstract Introduction For several decades, the rate of caesarean section (CS) has been increasing in the world. In some countries, the CS rate is below the WHO recommended range (10–15%), while in other countries, it is significantly higher. The aim of this paper was to identify individual and community-level factors associated with CS in Haiti. Methods Secondary data analysis was conducted on nationally representative cross-sectional survey data from the 2016–2017 Haitian Demographic and Health Survey (HDHS). The analysis was restricted to 6303 children born in 5 years prior the survey (of the interviewed women). The study population’ characteristics, and the prevalence of CS were analysed using descriptive analysis (univariate/bivariate). In addition, multilevel binary logistic regression analysis was performed to identify factors associated with CS. Both descriptive and multivariate analysis were conducted using STATA 16.0 software (Stata Corp, Tex, USA). Statistical significance was declared at p < 0.05. Results The overall prevalence of CS delivery was estimated at 5.4% (95% CI 4.8–6.0) in Haiti. Results also revealed that mothers aged 35 and above (aOR = 1.38; 95% CI 1.00–1.96); who attended secondary (aOR = 1.95; 95% CI 1.39–2.76) and higher education level (aOR = 3.25; 95% CI 1.92–5.49); who were covered by health insurance (aOR = 2.57; 95% CI 1.57–4.19); with less than 3 children (aOR = 4.13; 95% CI 2.18–7.85) or 3–4 children (aOR = 2.07; 95% CI 1.09–3.94); who received 9 or more antenatal visits (aOR = 2.21; 95% CI 1.40–3.50) were significantly more likely to deliver by CS. Children in communities with high preponderance of private health facilities had greater odds to be delivered through CS (aOR = 1.90; 95% CI 1.25–2.85). Furthermore, children with an average birth weight (aOR = 0.66; 95% CI 0.48–0.91) were less likely to be delivered through CS than their counterparts with high birth weight. Conclusions While the CS prevalence was low in Haiti, it masks significant geographic, social and economic disparities. To better develop and implement maternal and child health programs that address CS deliveries, the government authorities and NGOs operating in the field of women’s health in Haiti should take these disparities into account.https://doi.org/10.1186/s41182-023-00513-zCaesarean sectionPrevalenceDeliveryDemographic and Health SurveyFactorsHaiti |
| spellingShingle | David Jean Simon Stanley Jean-Baptiste Roodjmie Nazaire Ghislaine Joseph Joseph Arcelin Carmil Fanor Joseph Vénunyé Claude Kondo Tokpovi Individual and community-level factors associated with caesarean section in Haiti: secondary analysis of data from the 2016–2017 Haitian Demographic and Health Survey Tropical Medicine and Health Caesarean section Prevalence Delivery Demographic and Health Survey Factors Haiti |
| title | Individual and community-level factors associated with caesarean section in Haiti: secondary analysis of data from the 2016–2017 Haitian Demographic and Health Survey |
| title_full | Individual and community-level factors associated with caesarean section in Haiti: secondary analysis of data from the 2016–2017 Haitian Demographic and Health Survey |
| title_fullStr | Individual and community-level factors associated with caesarean section in Haiti: secondary analysis of data from the 2016–2017 Haitian Demographic and Health Survey |
| title_full_unstemmed | Individual and community-level factors associated with caesarean section in Haiti: secondary analysis of data from the 2016–2017 Haitian Demographic and Health Survey |
| title_short | Individual and community-level factors associated with caesarean section in Haiti: secondary analysis of data from the 2016–2017 Haitian Demographic and Health Survey |
| title_sort | individual and community level factors associated with caesarean section in haiti secondary analysis of data from the 2016 2017 haitian demographic and health survey |
| topic | Caesarean section Prevalence Delivery Demographic and Health Survey Factors Haiti |
| url | https://doi.org/10.1186/s41182-023-00513-z |
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