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Caesarean delivery in Uganda: Do non-clinical factors explain the trend?

Published online by Cambridge University Press:  13 October 2022

Flavia Gladys Nakinobe ,
Charles Lwanga Open the ORCID record for Charles Lwanga [Opens in a new window] ,
Stephen Ojiambo Wandera Open the ORCID record for Stephen Ojiambo Wandera [Opens in a new window] ,
Ishmael Kalule-Sabiti  and
Kudzaishe Mangombe
Flavia Gladys Nakinobe
Affiliation:
Population Studies, School of Statistics and Planning, Makerere University, Uganda
Charles Lwanga*
Affiliation:
Population Studies, School of Statistics and Planning, Makerere University, Uganda
Stephen Ojiambo Wandera
Affiliation:
Population Studies, School of Statistics and Planning, Makerere University, Uganda
Ishmael Kalule-Sabiti
Affiliation:
Population Research and Training Unit, North-West University (Mafikeng Campus), South Africa
Kudzaishe Mangombe
Affiliation:
Center for Population Studies, University of Zimbabwe
*
*Corresponding Author. Email: cblwanga@gmail.com/ charles.lwanga@mak.ac.ug
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Abstract

The aim of this paper was to assess the association between non-clinical factors and Caesarean delivery in Uganda. Self-reported data from the individual recode file were extracted from the 2016 Uganda Demographic and Health Survey (UDHS), with a sub sample of 9929 women aged 15-49 with a recent birth in the last 5 years preceding the survey. Chi-square tests and multivariate comlementary log-log regression models were used to examine the relationship between non-clinical factors and Caesarean section delivery. About one in ten (7%) of the women aged 15-49 had Caesarean deliveries. Non-clinical factors which were significantly associated with Caesarean section delivery include advanced maternal age, having the first birth compared to subsequent births, having 1-3 children compared to 4 or more children, higher level of women’s education relative to no education, being in the middle, richer, and richest wealth quintile compared to the poorest quintile. In conclusion, evidence suggests that the trend in Caesarean delivery can be attributed partially to non-clinical factors including advanced maternal age, birth order, parity, women’s education level, and wealth quintile. Thus, efforts to address the trend in Caesarean section delivery, need to take account of non-clinical factors.

Keywords

Caesarean sectionnon-clinicalUganda
Type
Research Article
Information
Journal of Biosocial Science , Volume 55 , Issue 5 , September 2023 , pp. 980 - 993
Copyright
© The Author(s), 2022. Published by Cambridge University Press

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