Interstate differences in institutional delivery and Caesarean section rates in India

In the last two decades, India witnessed a steep rise in institutional delivery (ID) rates and some increase Caesarean section (CS) rates. Analysis of raw data from three major surveys was undertaken with objective identifying factors associated both low high deliveries so that appropriate locale specific corrective interventions can be initiated. The NFHS4, AHS DLHS4 were analysed to assess urban-rural interstate differences ID CS government private institutions relation sociodemographic obstetric profile woman. At national level 3/4 women had ID. There substantial variations (50·4% 99·8%). higher urban areas states. rate at 18·5%; areas, states all Interstate (2·4% Bihar 69·2% West Bengal. urban, educated SLI group delivering institutions. National help lower enable initiation strengthen Awareness generation about adverse consequences home without indications will hasten progress towards universal optimal