From: Do free caesarean section policies increase inequalities in Benin and Mali?
Before implementation of the policy | After implementation of the policy | Trends in inequalities between period 1 and period 3 | ||
---|---|---|---|---|
Period 1 | Period 2 | Period 3 | p-valuec | |
Total | ||||
All pregnant women | 3614 | 12,760 | 6837 | |
% delivery by C-section | 3.87 | 4.33 | 5.35 | |
% FBD | 77.44 | 81.00 | 87.25 | |
Women by zone of residence | ||||
Urban | 1137 | 4723 | 2574 | |
% delivery by C-section | 7.04 | 6.39 | 7.85 | |
% FBD | 85.44 | 86.97 | 92.02 | |
Rural | 2477 | 8037 | 4263 | |
% delivery by C-section | 2.42 | 3.11 | 3.85 | |
% FBD | 73.78 | 77.48 | 84.37 | |
Urban/rural inequalities | ||||
aOR (95% CI) for C-sectiona | 1.44 (0.88; 2.35) | 1.18 (0.96; 1.45) | 1.24 (0.92; 1.66) | 0.135 |
aOR (95% CI) for FBDb | 0.75 (0.47; 1.21) | 0.85 (0.65; 1.12) | 0.97 (0.70; 1.35) | 0.244 |
Women by level of education | ||||
Educated | 977 | 3280 | 1896 | |
% delivery by C-section | 6.55 | 8.14 | 8.49 | |
% FBD | 90.79 | 95.53 | 97.36 | |
Non-educated | 2637 | 9480 | 4941 | |
% delivery by C-section | 2.88 | 3.01 | 4.15 | |
% FBD | 72.48 | 75.97 | 83.36 | |
Educated/non-educated inequalities | ||||
aOR (95% CI) for C-sectiona | 1.02 (0.71; 1.48) | 1.87 (1.50; 2.33)*** | 1.21 (0.92; 1.59) | 0.665 |
aOR (95% CI) for FBDb | 1.58 (1.21; 2.05)** | 3.31 (2.71; 4.06)*** | 3.13 (2.27; 4.33)*** | 0.001 |
Women by wealth quintiles of households (Q1 and Q5) | ||||
Q1 - Poorest | 816 | 2842 | 1532 | |
% delivery by C-section | 2.45 | 1.97 | 3.33 | |
% FBD | 56.81 | 60.57 | 72.17 | |
Q5 - Richest | 568 | 2073 | 1060 | |
% delivery by C-section | 11.62 | 10.08 | 12.17 | |
% FBD | 98.24 | 98.41 | 99.24 | |
Poorest/richest inequalities | ||||
aOR (95% CI) for C-sectiona | 4.08 (1.96; 8.43)*** | 3.01 (1.96; 4.64)*** | 2.86 (1.69; 4.83)*** | 0.487 |
aOR (95% CI) for FBDb | 58.63 (23.09148.89)*** | 35.02 (21.52; 57.01)*** | 37.57 (16.55; 85.28)*** | 0.525 |