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Reliability of data on caesarean sections in developing countries.

Cynthia K Stanton1, Dominique Dubourg, Vincent De Brouwere

  • 1Department of Population and Family Health Sciences, The Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21205, USA. cstanton@jhsph.edu

Bulletin of the World Health Organization
|June 25, 2005
PubMed
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Demographic and Health Surveys (DHS) provide higher caesarean section rates than facility-based data in developing countries. While DHS data may suffice for global monitoring, its imprecision limits regional program evaluation.

Area of Science:

  • Obstetrics and Gynecology
  • Global Health
  • Health Services Research

Background:

  • Accurate data on caesarean section rates are crucial for maternal health monitoring.
  • Developing countries often face challenges in reliable health data collection.
  • Discrepancies in reported caesarean section rates can impact public health initiatives.

Purpose of the Study:

  • To assess the reliability of reported caesarean section rates in developing nations.
  • To compare data from Demographic and Health Surveys (DHS) with health facility records.
  • To provide recommendations for improving data collection methods for caesarean sections.

Main Methods:

  • Compared population-based caesarean section rates from DHS and the Unmet Obstetric Need Network in six developing countries.

Related Experiment Videos

  • Utilized estimates of live births for rate calculations.
  • Conducted sensitivity analyses with varying definitions of caesarean section rates.

    • Main Results:

    • DHS consistently reported higher caesarean section rates compared to facility-based records.
    • Facility-based rates fell within the 95% confidence intervals of DHS estimates in 75% of cases.
    • Differences in rates varied depending on the specific definition used.

    Conclusions:

    • DHS data are adequate for national and global monitoring of caesarean section rates, despite imprecision.
    • The imprecision of DHS data hinders effective trend monitoring and regional program evaluation.
    • Improving data collection for both surveys and facility-based studies is essential for accurate maternal health assessment.