Abstract:
Objective
The study aimed to assess and compare the prevalence of caesarean birth and associated
factors among women gave birth at public and private health facilities in Bahir Dar city,
Amhara region, Ethiopia.
Methods
An institution-based comparative cross-sectional study design was conducted from
March1-April 15, 2019 at health facility provide emergency obstetrics service in Bahir Dar
city. Study participants 724(362 for each public and private facility) were recruited using a
systematic random sampling technique. Structured interview administered questionnaires
and chart review checklist were used to collect data. The data were entered into Epi info version 7.2 and analyzed using SPSS version 23.0 software. A binary logistic regression model
was fitted and an adjusted odds ration with 95% CI was used to determine the presence and
strength of association between independent variables and cesarean birth.
Results
The response rate was 98.3% and 97.2% for public and private health facilities respectively.
The prevalence of caesarean birth in private health facilities was 198 (56.3%) (95%CI: 50.9,
61.4) and in public health facilities was 98 (27.5%) (95%CI: 22.8, 32.2). Overall prevalence
of caesarean birth was 296 (41.8%) (95%CI: 38.4, 45.5). Breech presentation (AOR = 3.64;
95%CI:1.49, 8.89), urban residence (AOR = 6.54; 95%CI:2.59, 16.48) and being referred
(AOR = 2.44; 95%CI:1.46, 4.08) were variables significantly associated with caesarean
birth among public facilities whereas age between 15–24 (AOR = 0.20, 95% CI; 0.07, 0.52),
government employe (AOR = 2.28; 95%CI: 1.39,3.75), self-employed (AOR = 3.73; 95%
CI:1.15,8.59), para one (AOR = 6.79; 95%CI:2.02, 22.79), para two (AOR = 3.88; 95% CI:1.15,13.08), and wealth index being highest level of wealth asset AOR = 5.39; 95%
CI:1.08, 26.8) in private health facility associated with caesarean birth.
Conclusions
We concluded that there is high prevalence of caesarean birth both in private and public
facility. There is a statistically significant difference in the prevalence of caesarean birth in
public and private health facilities
