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Journal ID : TMJ-05-12-2021-10847
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Title : Prevalence and determinants of caesarean section in private and public health facilities in Bangladesh: Bangladesh Demographic and Health Survey, 2014

Abstract :

The aims of this study to determine the prevalence and determinants of caesarean section in private and public health facilities in different region in Bangladesh. A cross-sectional study was conducted for this research. Data from the Bangladesh Demographic and Health Survey (2014, BDHS) has been analyzed. The study design selected 17,842 residential households for the survey. Percentage distribution has been computed to obtain the rates of caesarean section in public and private sectors. Then logistic regression has been applied to calculate odds ratios (ORs), 95% confidence intervals (CIs), and p-values. In Bangladesh, 20.10% of the total caesarean section deliveries were performed in public medical centers and 79.90% caesarean section took place in private hospital. Wealth index found positive association with caesarean section in private clinic. Husband’s education levels were secondary or higher, they preferred to go health institutions for childbirth. The number of caesarean sections was higher for mothers who watched television. In both kinds of centers, mothers who received prenatal care by qualified doctor had more caesarean section deliveries. Caesarean section occurred mostly for lower order birth among mothers in public medical and private hospitals. It is essential to improve facilities for mothers and babies at root level. Effective care of public and private health institutions for mother must be ensured. Normal vaginal delivery (NVD) may be driven by the support of modern equipment. Proper training, good practice and quality service is needed for NVD.

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