Reliability of data on caesarean sections in developing countries.
OBJECTIVE: To examine the reliability of reported rates of caesarean sections from developing countries and make recommendations on how data collection for surveys and health facility-based studies could be improved. METHODS: Population-based rates for caesarean section obtained from two sources: De...
| Publicado en: | Bulletin of the World Health Organization Vol. 83; no. 6; pp. 449 - 456 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
World Health Organization
Jun2005
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106518082&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106518082 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00429686 BUW jtl: Bulletin of the World Health Organization issn: 00429686 maglogo: N pubinfo: dt: Jun2005 vid: 83 iid: 6 pid: 437 pub: World Health Organization artinfo: ui: 106518082 106518082 2009026454 NLM15976896 106518082 ppf: 449 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Reliability of data on caesarean sections in developing countries. aug: au: Stanton CK Dubourg D De Brouwere V Pujades M Ronsmans C affil: Dept of Population and Family Health Sciences, E4035, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe St, Baltimore, MD 21205; cstanton@jhsph.edu sug: subj: Cesarean Section Trends Confidence Intervals Descriptive Statistics Developing Countries Female Pregnancy Record Review Sensitivity and Specificity Funding Source Human Female ab: OBJECTIVE: To examine the reliability of reported rates of caesarean sections from developing countries and make recommendations on how data collection for surveys and health facility-based studies could be improved. METHODS: Population-based rates for caesarean section obtained from two sources: Demographic and Health Surveys (DHS) and health facility-based records of caesarean sections from the Unmet Obstetric Need Network, together with estimates of the number of live births, were compared for six developing countries. Sensitivity analyses were conducted using several different definitions of the caesarean section rate, and the rates obtained from the two data sources were compared. FINDINGS: The DHS rates for caesarean section were consistently higher than the facility-based rates. However, in three quarters of the cases, the facility-based rates for caesarean sections fell within the 95% confidence intervals for the DHS estimate. CONCLUSION: The importance of the differences between these two series of rates depends on the analyst's perspective. For national and global monitoring, DHS data on caesarean sections would suffice, although the imprecision of the rates would make the monitoring of trends difficult. However, the imprecision of DHS data on caesarean sections precludes their use for the purposes of programme evaluation at the regional level. Copyright © 2005 World Health Organization pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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