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jhosp 2022, 21(1): 13-21 |
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Salimi Y, Kazemi-Karyani A, Soltani S, Najafi F, Azimi Z, Roshani B, et al . The effect of health sector evolution plan on the prevalence of cesarean and vaginal delivery in public hospitals in Kermanshah province: an interrupted time series analysis (2009-2019). jhosp 2022; 21 (1) :13-21
URL: http://jhosp.tums.ac.ir/article-1-6486-en.html
URL: http://jhosp.tums.ac.ir/article-1-6486-en.html
Yahya Salimi1 
, Ali Kazemi-Karyani2 , Shahin Soltani2 , Farid Najafi2 , Zhila Azimi3 , Bahman Roshani4 , Sina Ahmadi5 , Satar Rezaei * 6
, Ali Kazemi-Karyani2 , Shahin Soltani2 , Farid Najafi2 , Zhila Azimi3 , Bahman Roshani4 , Sina Ahmadi5 , Satar Rezaei * 6
1- Social Development anHealth Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
2- Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
3- Department of Epidemiology, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
4- Department of Anesthesiology, Imam Reza Hospital Center, Kermanshah University of Medical Sciences. Kermanshah, Iran
5- Department of Social Welfare Management, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
6- Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran. Corresponding author. satarrezaei@gmail.com
2- Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
3- Department of Epidemiology, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
4- Department of Anesthesiology, Imam Reza Hospital Center, Kermanshah University of Medical Sciences. Kermanshah, Iran
5- Department of Social Welfare Management, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
6- Research Center for Environmental Determinants of Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran. Corresponding author. satarrezaei@gmail.com
Abstract: (2479 Views)
Background: The aim of this study was to evaluate the effect of health sector evolution plan (HSEP) on the prevalence of cesarean section and vaginal delivery in public hospitals in Kermanshah province.
Methods: In the present study, cesarean section (C-section) and vaginal delivery data were collected and evaluated in 17 public hospitals from 2009 to 2019. The main variables of this study included the prevalence of C-section and the prevalence of vaginal delivery for 121 months, both were obtained by dividing the number of deliveries by C-section and vaginal delivery by the total number. Interrupted time series analysis was used to examine the effect of HSEP on the prevalence of cesarean and vaginal delivery rates.
Results: The prevalence of C-section before and after the HSEP was 42.5% and 43.2%, respectively. Months before the intervention, the rate of C-section was increasing by 0.13%, which was statistically significant. In the first month after the intervention, the prevalence of C-section decreased by 3.6% that was statistically significant. The share of C-section in the months after the implementation of the HSEP showed a monthly increase of 0.12% compared to before the intervention, which was statistically significant.
Conclusions: The results of the study showed that the HSEP has led to a significant reduction in C-section in short term, but in the months after the implementation of the plan, the prevalence of C-section has increased again.
Methods: In the present study, cesarean section (C-section) and vaginal delivery data were collected and evaluated in 17 public hospitals from 2009 to 2019. The main variables of this study included the prevalence of C-section and the prevalence of vaginal delivery for 121 months, both were obtained by dividing the number of deliveries by C-section and vaginal delivery by the total number. Interrupted time series analysis was used to examine the effect of HSEP on the prevalence of cesarean and vaginal delivery rates.
Results: The prevalence of C-section before and after the HSEP was 42.5% and 43.2%, respectively. Months before the intervention, the rate of C-section was increasing by 0.13%, which was statistically significant. In the first month after the intervention, the prevalence of C-section decreased by 3.6% that was statistically significant. The share of C-section in the months after the implementation of the HSEP showed a monthly increase of 0.12% compared to before the intervention, which was statistically significant.
Conclusions: The results of the study showed that the HSEP has led to a significant reduction in C-section in short term, but in the months after the implementation of the plan, the prevalence of C-section has increased again.
Keywords: Prevalence of cesarean section (C-section), Health sector evolution plan, Interrupted time series analysis, Hospital
Type of Study: Original Article |
Subject:
سایر
Received: 2022/02/6 | Accepted: 2022/06/26 | Published: 2022/07/26
Received: 2022/02/6 | Accepted: 2022/06/26 | Published: 2022/07/26
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