Caesarean sections in the in the context of the Chiranjeevi Yojana public private partnership program to promote institutional birth in Gujarat, India; does the embedded disincentive for caesarean section work?

ABSTRACT:

Background

The government of Gujarat, India runs a large public private partnership program to widen access to emergency obstetric care (EmOC). The program include a disincentive for Cesareans section (CS) which are capped at seven per 100 women. In this paper, we study if the disincentive works by comparing CS rates among similar groups of women who deliver within and outside the program.

Methods

Community-based panel study in three districts of Gujarat, India.

Sample size

2123 women. Data was analyzed using multivariable logistic regression.

Results

Overall seven point seven % (164/2123) of the all women in the study had a CS. After adjusting for confounding factors women within the program had 62% (AOR 0.38, 95% CI 0.22-0.44) lower odds of having a CS than t

SUBMITTER: Salazar M 

PROVIDER: S-EPMC6345034 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature