Inappropriate use of Caesarean Section (CS) delivery is partly to blame for Ghana’s high maternal mortality rate. However, previous research offered mixed findings about factors associated with CS use. The goal of this study is to examine use of CS in Ghana and the socioeconomic factors associated with it. Data from the nationally representative 2014 Ghana Demographic and Health Survey (GDHS) was used after permission from the Monitoring and Evaluation to Assess and Use Results (MEASURE) Demographic and Health Survey (DHS) program. Univariable and multivariable logistic regression models were fitted to examine the socioeconomic inequalities in CS use. The independent variables included maternal age, marital status, religion, ethnicity, education, place of residence, wealth quintile, and working status. Concentration index (CI) and rate-ratios were computed to ascertain the level of CS inequalities. Out of the 4294 women, 11.4% had CS delivery. However, the percentage of CS delivery ranged from 5% of women in the poorest quintile to 27.5% of women in the richest qunitle. Significant associations were detected between CS delivery and maternal age, parity, education, and wealth quintile . This study revealed that first, even though Ghana has achieved an aggregate CS rate consistent with WHO recommendations, it still suffers from inequities in the use of CS. Second, both underuse of CS among poorer women in Ghana and overuse among rich and educated women are public health concerns that need to be addressed. Third, the results show in spite of Ghana’s free maternal care services policies, wealth status of women continues to be strongly and signtificantly associated with CS delivery, indicating that there are indirect health care costs and other reasons preventing poorer women from having access to CS which should be understood better and addressed with appropriate policies.

中文翻译：

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加纳使用剖腹产手术中的社会经济不平等：使用具有全国代表性的数据进行的横断面研究

加纳产妇死亡率高是部分原因。但是，先前的研究对与CS使用相关的因素提出了不同的发现。这项研究的目的是研究加纳CS的使用以及与之相关的社会经济因素。在监测和评估评估和使用结果（MEASURE）人口与健康调查（DHS）计划的许可下，使用了具有国家代表性的2014年加纳人口与健康调查（GDHS）的数据。拟合单变量和多变量logistic回归模型以检验CS使用中的社会经济不平等。独立变量包括产妇年龄，婚姻状况，宗教，种族，教育程度，居住地，五分之一财富和工作状况。计算浓度指数（CI）和比率比率，以确定CS不平等的程度。在4294名妇女中，有11.4％的妇女接受过CS分娩。然而，CS分娩的百分比范围从最贫穷的五分之一妇女的5％到最富有的qunitle的妇女的27.5％。在CS分娩与产妇年龄，均等，受教育程度和五分之一的财富之间发现了显着的关联。这项研究表明，首先，即使加纳达到了与世卫组织建议相符的总CS率，但它仍然遭受CS使用不公平的困扰。其次，加纳较贫穷的妇女对CS的利用不足和富裕和受过教育的妇女的CS滥用都是需要解决的公共卫生问题。第三，结果显示，尽管加纳实行了免费的孕产妇保健服务政策，