Methods
HMIS data for total, public, and private CS surgeries for nine financial
years (2011-2019) for 737 districts across 37 states was taken from the
National Data and Analytics Platform. Annual CS rates were defined as
the number of CS surgeries per 100 live births. For public and private
CS rates, since sector-wise live births were unavailable, we used the
sector-wise deliveries multiplied by the ratio of total deliveries to
the total live births. District-level data were aggregated for
estimating state and national rates. CS rates less than 10% were
defined as inadequate - needing
scale-up.3Rates over 19% were defined as
excess.4Unweighted average annual percent changes were computed for CS rates.
Public-private CS rate comparisons were conducted using unpaired Wilcox
tests. All analysis and visualization were performed in R.