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Cesarean section deliveries in the occupied Palestinian territory (oPt): An analysis of the 2006 Palestinian Family Health Survey

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  • Abdul-Rahim, Hanan F.
  • Abu-Rmeileh, Niveen Mohammad Elias
  • Wick, Laura

Abstract

Objective Against the backdrop of a rise in cesarean section deliveries from 6.0% in 1996 to 14.8% in 2006, the objective of this study was to investigate socio-demographic, clinical and service-related factors associated with cesarean sections in the occupied Palestinian territory.Methods Data from the Palestinian Family Health Survey 2006 were used to examine last births in the 5 years preceding the survey to women aged 15-49 years. Bivariate and multivariate associations between type of delivery (dependent variable) and selected factors were analyzed using logistic regression. Selected maternal outcomes were also investigated with type of delivery as the independent variable.Results Cesarean section deliveries were significantly associated with maternal age (35+ years), primiparity, low birth weight and residence area in the West Bank and Gaza. There was no significant difference in the prevalence of cesarean deliveries by sector in the West Bank, but in Gaza, they were significantly more common in the governmental sector.Conclusions There is a need for detailed audits of cesarean section deliveries, nationally and at the facility level, in order to avoid unnecessary interventions in the context of high fertility, rising poverty and fragmented health services. Variations by governorate should be studied further for focused interventions.

Suggested Citation

  • Abdul-Rahim, Hanan F. & Abu-Rmeileh, Niveen Mohammad Elias & Wick, Laura, 2009. "Cesarean section deliveries in the occupied Palestinian territory (oPt): An analysis of the 2006 Palestinian Family Health Survey," Health Policy, Elsevier, vol. 93(2-3), pages 151-156, December.
    • Handle: RePEc:eee:hepoli:v:93:y:2009:i:2-3:p:151-156
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    1. Kabakian-Khasholian, Tamar & Kaddour, Afamia & DeJong, Jocelyn & Shayboub, Rawan & Nassar, Anwar, 2007. "The policy environment encouraging C-section in Lebanon," Health Policy, Elsevier, vol. 83(1), pages 37-49, September.
    2. Padmadas, Sabu S. & Kumar S., Suresh & Nair, Sajini B. & Kumari K.R., Anitha, 2000. "Caesarean section delivery in Kerala, India: evidence from a National Family Health Survey," Social Science & Medicine, Elsevier, vol. 51(4), pages 511-521, August.
    3. Khawaja, Marwan & Kabakian-Khasholian, Tamar & Jurdi, Rozzet, 2004. "Determinants of caesarean section in Egypt: evidence from the demographic and health survey," Health Policy, Elsevier, vol. 69(3), pages 273-281, September.
    4. Giacaman, Rita & Wick, Laura & Abdul-Rahim, Hanan & Wick, Livia, 2005. "The politics of childbirth in the context of conflict: policies or de facto practices?," Health Policy, Elsevier, vol. 72(2), pages 129-139, May.
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    1. Guccio, C. & Lisi, D., 2014. "Social interactions in inappropriate behavior for childbirth services: Theory and evidence from the Italian hospital sector," Health, Econometrics and Data Group (HEDG) Working Papers 14/28, HEDG, c/o Department of Economics, University of York.
    2. Guccio, Calogero & Lisi, Domenico, 2016. "Thus do all. Social interactions in inappropriate behavior for childbirth services in a highly decentralized healthcare system," Regional Science and Urban Economics, Elsevier, vol. 61(C), pages 1-17.
    3. Myriam de Loenzien & Clémence Schantz & Bich Ngoc Luu & Alexandre Dumont, 2019. "Magnitude and correlates of caesarean section in urban and rural areas: A multivariate study in Vietnam," PLOS ONE, Public Library of Science, vol. 14(7), pages 1-14, July.

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