Trends and sociodemographic inequalities in the use of caesarean section in Indonesia, 1987-2017

RI Zahroh; G Disney; AP Betrán; MA Bohren

Journal article

Trends and sociodemographic inequalities in the use of caesarean section in Indonesia, 1987-2017

RI Zahroh, G Disney, AP Betrán, MA Bohren

BMJ Global Health | BMJ PUBLISHING GROUP | Published : 2020

DOI: 10.1136/bmjgh-2020-003844

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Abstract

Introduction Caesarean section (CS) rates are increasing globally. CS can be a live-saving procedure when medically indicated, but it comes with higher risks for women and newborns when done without medical indication. Crucially, inequalities in who receives CS exist, both within and across countries. Understanding factors driving increasing rates and inequalities of CS is imperative to optimise the use of this life-saving intervention. This study aimed to investigate trends of CS use and inequalities across sociodemographic characteristics in Indonesia over a 30-year period. Methods Seven waves of the Indonesia Demographic and Health Survey were used to estimate trends and inequalities in C..

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University of Melbourne Researchers

Rana Islamiah Zahroh Author

George Disney Author

Meghan Bohren Author

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Awarded by UNICEF

Funding Acknowledgements

We would like to acknowledge the support from our institutions in facilitating the completion of this work. RIZ is sponsored by Australian Awards Scholarship (ST000SSF2) for her master's education, funded by Australian Department of Foreign Affairs and Trade (DFAT), and received an open access publication award from the Centre for Health Equity (University of Melbourne School of Population and Global Health). GD is supported by a National Health and Medical Research Council of Australia funded Centre of Research Excellence in Disability and Health (APP1116385). APB is supported by UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, Department of Sexual and Reproductive Health and Research, WHO. MAB's time is supported by an Australian Research Council Discovery Early Career Researcher Award (DE200100264) and a Dame Kate Campbell Fellowship (University of Melbourne Faculty of Medicine, Dentistry, and Health Sciences).