Assessing the socio-demographic correlates of caesarean-section delivery for mothers aged 15-49 in Uganda

Abstract

The study focused on the assessment of factors associated with CS delivery in Uganda. The specific objective of the study included; analyzing the association between demographic factors and CS, assessing the association between socio-economic factors and CS. The study was based on 2016 UDHS. The sampling frame used was that of the Uganda National Population and Housing Census (NPHC) provided by UBOS. The data was presented in form of univariate analysis, bivariate analysis and multivariate analysis. The study findings indicated that the majority of the respondents delivered by otherwise. A larger proportion of the respondents was married and cohabiting, more than three quarters of the respondents were residents of rural areas, almost a half of the respondents were Catholics, more than a half of the respondents had attained primary education level, almost a half of the respondents were from lowest background, more than a half of the respondents had less than three 4 children, more than quarters of the respondents were currently working and a larger proportion of the respondents was in the age bracket of 20-24 years. From bivariate analysis, marital status, place of residence, education level, wealth index, parity and employment status were statistically associated with CS. Making the stated null hypotheses for these variables false and the alternative true. However, multivariate analysis indicated that place of residence; education level and parity were found to be the determinants of CS. Therefore, the researcher recommends to; • Both public and private health services for C-section should be made available and accessible in both rural and urban areas for women with pregnancy complications. • To increase the effective use of C-section evidence-based interventions • Hospitals are needed to be equipped with updated protocol for labour and delivery management. • Educational interventions and support programmes are recommended to reduce caesarean delivery with monitoring and evaluation.