As per the National Family Health Survey 2015 -16, the number of C-section deliveries at private facilities in Telangana stood at an astounding 75%. According to April 2015 WHO estimate, a healthy C-section rate should be in the range of 10-15% and India is around 8.5%, but this is deceptive of the underlying inequalities and variations. States like Andhra Pradesh, Bihar, Rajasthan, Madhya Pradesh and Uttar Pradesh have rates that are lower compared to Telangana but are still at an alarming number.
Higher than necessary C-section rates can be due to lack of information available to patients leading to doctor taking advantage. Also, higher potential incentives for doctors to provide certain expensive treatments which make them inclined to carry out treatments not necessary. In private facilities, C-section rates were higher than 20% in nearly 85% of the districts in the country.
For districts with low rates, there is a possible case for greater investments in public healthcare infrastructure and facilities and more qualified medical personnel but it may not be the same for higher rates districts. More appropriate solutions for these areas could be to invest more in the quality of care rather than quantity and to design regulatory frameworks to ensure that healthcare institutions – both public and private – are held more accountable....
Source: The Quint