Reliability of data on caesarean sections in developing countries

Cynthia Stanton, Dominique Dubourg, Vincent De Brouwere, Mar Pujades, Carine Ronsman

Research output: Contribution to journalArticle

51 Citations (Scopus)

Abstract

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.
Original languageEnglish
Pages (from-to)449-455
Number of pages7
JournalBulletin of the World Health Organization
Volume83
Issue number6
Publication statusPublished - Jun 2005

Fingerprint

Cesarean Section
Developing Countries
Demography
Health Facilities
Information Storage and Retrieval
Program Evaluation
Live Birth
Obstetrics
Confidence Intervals
Population

Keywords

  • cesarean section/classification/statistics
  • data collection/methods
  • reproducibility of results
  • sensitivity and specificity
  • developing countries
  • emergency obstetric services
  • UN process indicators
  • program note
  • Morocco

Cite this

Stanton, C., Dubourg, D., De Brouwere, V., Pujades, M., & Ronsman, C. (2005). Reliability of data on caesarean sections in developing countries. Bulletin of the World Health Organization, 83(6), 449-455.

Reliability of data on caesarean sections in developing countries. / Stanton, Cynthia ; Dubourg, Dominique; De Brouwere, Vincent; Pujades, Mar; Ronsman, Carine.

In: Bulletin of the World Health Organization, Vol. 83, No. 6, 06.2005, p. 449-455.

Research output: Contribution to journalArticle

Stanton, C, Dubourg, D, De Brouwere, V, Pujades, M & Ronsman, C 2005, 'Reliability of data on caesarean sections in developing countries', Bulletin of the World Health Organization, vol. 83, no. 6, pp. 449-455.
Stanton C, Dubourg D, De Brouwere V, Pujades M, Ronsman C. Reliability of data on caesarean sections in developing countries. Bulletin of the World Health Organization. 2005 Jun;83(6):449-455.
Stanton, Cynthia ; Dubourg, Dominique ; De Brouwere, Vincent ; Pujades, Mar ; Ronsman, Carine. / Reliability of data on caesarean sections in developing countries. In: Bulletin of the World Health Organization. 2005 ; Vol. 83, No. 6. pp. 449-455.
@article{fd26fb3a1bab4a338cb30098c19d02bf,
title = "Reliability of data on caesarean sections in developing countries",
abstract = "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.",
keywords = "cesarean section/classification/statistics, data collection/methods, reproducibility of results, sensitivity and specificity, developing countries , emergency obstetric services, UN process indicators, program note, Morocco",
author = "Cynthia Stanton and Dominique Dubourg and {De Brouwere}, Vincent and Mar Pujades and Carine Ronsman",
year = "2005",
month = "6",
language = "English",
volume = "83",
pages = "449--455",
journal = "Bulletin of the World Health Organization",
issn = "0042-9686",
publisher = "World Health Organization",
number = "6",

}

TY - JOUR

T1 - Reliability of data on caesarean sections in developing countries

AU - Stanton, Cynthia

AU - Dubourg, Dominique

AU - De Brouwere, Vincent

AU - Pujades, Mar

AU - Ronsman, Carine

PY - 2005/6

Y1 - 2005/6

N2 - 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.

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.

KW - cesarean section/classification/statistics

KW - data collection/methods

KW - reproducibility of results

KW - sensitivity and specificity

KW - developing countries

KW - emergency obstetric services

KW - UN process indicators

KW - program note

KW - Morocco

M3 - Article

VL - 83

SP - 449

EP - 455

JO - Bulletin of the World Health Organization

JF - Bulletin of the World Health Organization

SN - 0042-9686

IS - 6

ER -