1 less than 2%
2 2% to 4.9%
3 5% to 9.9%
4 10% to 14.9%
5 15% to 24.9%
6 25% to 34.9%
7 35% or over
8 No Data
1 60% or over
2 40% to 59%
3 20% to 39%
4 10% - 19%
5 less than 10%
6 No Data

Births by Caesarean Section

What does it mean ?

This indicator shows the number of births by caesarean section relative to all births. Birth by caesarean section requires specialist health worker skills, an operating theatre and availability of specific drugs and medical products.

Why does it matter ?

All pregnancies are associated with risk and when medically justified, a caesarean section can prevent maternal and perinatal mortality and morbidity. However, because any surgery carries risk of complications, caesarean sections should not be performed unless it is medically required. According to the World Health Organisation, about 10-15 % of all births require delivery by caesarean section. As such, caesarean section rates lower than 10% indicates under-use and caesarean section rates over 15 % indicate over-use. Because birth by caesarean section requires specialist medical skills and health services, this indicators is sometimes used as a proxy indicator to measure the availability of quality of maternal health services in countries where data from health information systems and health facility surveys are limited.

How is it collected ?

Data on the percent of birth by caesarean section is usually derived from large scale, nationally representative surveys such as Demographic and Health (DHS) and Multiple Indicator Cluster Surveys (MICS), other national surveys. DHS/ MICS are household surveys where women are asked if they have given birth (usually in the last three or five years) and the circumstances surrounding the birth including if they had a caesarean section.

"The Increasing Trend in Caesarean Section Rates: Global, Regional and National Estimates: 1990-2014" BetrĂ¡n, A., et al. PLoS One. 2016; 11(2): http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4743929/

Married Too Soon

What does it mean ?

Child marriage (also known as early marriage) is defined as a formal marriage or informal union before age 18. It is measured as the percentage of women who are in a marriage / union before the age of 18 years. It is often presented specifically for women currently aged 20-24 years only in order to give an indication of recent prevalence.

Why does it matter ?

As well as being a violation of a girl or young woman's human rights, early or child marriage is associated with curtailment of education, psychosocial disadvantage, poor reproductive health, increased risk of intimate partner violence and poor child health outcomes for the subsequent generation. The elimination of early and child marriage is a target for Sustainable Development Goal 5: toachieve gender equality and empower all women and girls. Target 5.3: "by 2030 to eliminate all harmful practices, such as early, forced and child marriage, and female genital mutilation."

How is it collected ?

In high and some middle income countries estimates are based on vital registration data. However, most estimates are based on self-reported, retrospective data from large scale, nationally representative surveys such as Demographic and Health (DHS) or Multiple Indicator Cluster Surveys (MICS). It must be noted that these surveys adopt a broad definition of marriage / union which includes legal and "traditional" marriages, as well as consensual unions with cohabitation.

UNICEF datasets most recent available data http://data.unicef.org/child-protection/child-marriage.html
Accessed 15th August 2016