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Caesarean section delivery in private and public facilities in Tunisia

Ismaïl, Safa (2022): Caesarean section delivery in private and public facilities in Tunisia.

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Abstract

Based on WHO threshold, the rate of caesarean section delivery in Tunisia is hight (34%). This paper aims to estimate and analyse the effects of caesarean section determinants in both healthcare sectors: private and public. The use of caesarean section delivery was estimated using a representative sample of 1090 puerperal women extracted from the national household’s survey of budget, consumption, and living standards in 2015. The estimation was performed using logistic regression model. Caesarean section occurrence is much more observed in private facilities. It is associated with different factors in private and in public facilities. In private facilities, advanced maternal age and numbers of antenatal care visits are the main influencing factors. However, in public facilities, caesarean section delivery is higher for women aged above 35, with chronic disease, living in urban areas. Caesarean section occurrence is very high in private facilities without being closely associated to risky deliveries. Policymakers should provide mechanisms of control and reduction of unwanted caesarean sections.

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