Prevalence, urban-rural disparity and determinants of caesarean section delivery among women delivering at health facilities in 48 low- and middle-income countries: a multilevel and decomposition analysis
Caesarean delivery rates in low- and middle-income countries surpass the WHO's recommended thresholds, with marked socioeconomic and geographic disparities. Key determinants of caesarean delivery use and urban-rural gaps highlight structural inequalities in healthcare access and delivery. Targeted interventions are needed to enhance equitable access to quality maternal care, refine financing and promote maternal education.
Authors
- Biruk Demissie (ORCID: https://orcid.org/0009-0007-0708-4891)
- Kumlachew Geta Belete (ORCID: https://orcid.org/0000-0001-5881-1285)
- Negesse Zurbachew Gobezie (ORCID: https://orcid.org/0000-0002-8401-309X)
- Khadijat Adeleye (ORCID: https://orcid.org/0000-0001-7560-5504)
- Gezahagn Demsu Gedefaw (ORCID: https://orcid.org/0009-0003-3584-4545)
- Wubet Tazeb Wondie (ORCID: https://orcid.org/0000-0003-1522-7905)
- Birhanu Mengist Munie
- Abere Gebru Abuhay (ORCID: https://orcid.org/0009-0001-8452-3436)
- Belayneh Jejaw Abate (ORCID: https://orcid.org/0009-0003-7649-2830)
- Habtie Bantider Wubet (ORCID: https://orcid.org/0009-0007-7827-1416)
- Temesgen Birlie Asmare (ORCID: https://orcid.org/0009-0008-0462-8299)
Institutions
- University of Massachusetts Amherst (US)
- Ambo University (ET)
- Debre Tabor University (ET)
- University of Gondar (ET)
Publication Details
- Journal
- BMJ Global Health
- Published
- 2025-12-01
- DOI
- https://doi.org/10.1136/bmjgh-2025-021342
- Citations
- 1
- Primary Topic
- Maternal and Perinatal Health Interventions
- Type
- article
- Field-Weighted Citation Impact
- 2.06