Prevalence of Caesarean Section, Indications and the Role of Health Insurance at Kahama District Hospital from November 2014 to April 2015. (Record no. 20479)

MARC details
000 -LEADER
fixed length control field 03172nam a22003137a 4500
001 - CONTROL NUMBER
control field CUHAS/MD/4000752/T/11
003 - CONTROL NUMBER IDENTIFIER
control field CUHAS/MD/4000752/T/11
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20240305193820.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 210802b |||||||| |||| 00| 0 eng d
028 ## - PUBLISHER OR DISTRIBUTOR NUMBER
Source Wurzburg Road 35, BMC Premises, Post Code: 33102:
Source P. O Box 1464, Mwanza – Tanzania:
Source Phone: +255 28 298 3384:
Source Fax: +255 28 298 3386:
Source Email: vc@bugando.ac.tz :
Source www.bugando.ac.tz
035 ## - SYSTEM CONTROL NUMBER
System control number CUHAS/MD/4000752/T/11
040 ## - CATALOGING SOURCE
Language of cataloging English
Transcribing agency DDC
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title English
Language code of text/sound track or separate title Kiswahili
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Ngalya, Faustine. Edward
Dates associated with a name CUHAS/MD/4000752/T/11
9 (RLIN) 20324
245 ## - TITLE STATEMENT
Title Prevalence of Caesarean Section, Indications and the Role of Health Insurance at Kahama District Hospital from November 2014 to April 2015.
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Mwanza, Tanzania:
Name of publisher, distributor, etc. Catholic University of Health and Allied Sciences [CUHAS – Bugando] :
Date of publication, distribution, etc. ©2015
300 ## - PHYSICAL DESCRIPTION
Extent 27 Pages
Extent Includes References
520 ## - SUMMARY, ETC.
Summary, etc. Abstract: <br/><br/>Background: The World Health Organization considers Cesarean section rates of 5-15% to be the optimal range for targeted provision of this life saving intervention. Despite cesarean section having a number of negative financial impacts as well as a risk of fatal maternal and fetal outcomes its rate is progressively increasing with time, however there are no new indications for this procedure. There are studies which found that the use of health insurances in some areas has facilitated the increase in the rates of caesarean section. In the light of the rising trend in global cesarean section rates, there seems to be a need to find out the extent of the situation in a lower sector of the health system in Tanzania at the level of the district. <br/><br/>Objectives: To determine the prevalence of caesarean section, its indications and the role of health insurances at a district hospital in Tanzania. <br/><br/>Methodology: This was a retrospective cross sectional study done at Kahama District hospital targeting all pregnant women who delivered at the hospital from November 2014 to February 2015. A special collection form was used to obtain data from the delivery book in the ward as well as the operation record book from the obstetric theatre. <br/><br/>Results: In this study, the prevalence of CS was found to be 7.2% from which 76.3% were emergency CS and the rest were relative CS. The majority of women who underwent the CS were with age groups 15-19 (22.2%) and 20-24 years (23.7%). The leading indications for the CS done were CPD (18.8%) and prolonged labour (18.8%). Furthermore, only 21.7% of the CS were covered by health insurances. <br/><br/>Conclusion: The prevalence of caesarean section was within ideal rate according to WHO. Majority of CS were emergencies, involving women in their late teens and twenties and most of them were primigravida. The CS were done under appropriate indications in which CPD and prolonged labour were more common. The CS done were not Influenced by use of health insurance. <br/><br/>
600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME
General subdivision Obstetrics and Gynecology
700 ## - ADDED ENTRY--PERSONAL NAME
9 (RLIN) 20325
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme ddc
Koha item type UNDERGRADUATE DISSERTATIONS
Holdings
Withdrawn status Lost status Source of classification or shelving scheme Damaged status Not for loan Collection Home library Current library Shelving location Date acquired Total checkouts Barcode Date last seen Price effective from Koha item type
            MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO   08/02/2021   UD0436 08/02/2021 08/02/2021 UNDERGRADUATE DISSERTATIONS
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