Journal article

Incidence and determinants of hysterectomy in a low-income setting in Gujarat, India

Sapna Desai, Oona MR Campbell, Tara Sinha, Ajay Mahal, Simon Cousens

HEALTH POLICY AND PLANNING | OXFORD UNIV PRESS | Published : 2017

Abstract

Hysterectomy is a leading reason for use of health insurance amongst low-income women in India, but there are limited population-level data available to inform policy. This paper reports on the findings of a mixed-methods study to estimate incidence and identify predictors of hysterectomy in a low-income setting in Gujarat, India. The estimated incidence of hysterectomy, 20.7/1000 woman- years (95% CI: 14.0, 30.8), was considerably higher than reported from other countries, at a relatively low mean age of 36 years. There was strong evidence that among women of reproductive age, those with lower income and at least two children underwent hysterectomy at higher rates. Nearly two-thirds of wome..

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