The International Healthcare Community recommends that countries do not exceed a 15% rate for cesarean section (CS). Our objective was to determine the prevalence and factors associated with CS at GPHC from July to September 2022. Methods: A cross-sectional study was carried out and data were collected from 1296 mothers, who met the inclusion criteria, through face-to-face interviews after obtaining prior informed consent. We performed descriptive analyses both for the outcome and independent variables. Bivariate and multiple logistic regression were used to identify factors associated with CS with a p-value < 5%. Results: The prevalence of CS at GPHC was 28.9% (95%CI: 26.5-31.5). Factors associated factors with CS were mothers aged 20 to 34 years (AOR: 1.56, 95%CI: 1.02 - 2.39, P = 0.039); mothers who received more than three minimum wages (AOR: 1.95, 95%CI: 1.29 - 2.97, P = 0.002) and who attended prenatal care at both public and private health facilities (AOR: 2.49, 95% CI: 1.19 - 5.22, P = 0.022). Likewise, the highest Odds of CS were observed in mothers with gestational hypertension (AOR: 2.00, 95%CI: 1.35 - 2.96, P < 0.001), gestational diabetes (AOR: 3.22, 95%CI: 1.65 - 6.30, P = 0.001), and admitted to the hospital for any sickness during pregnancy (AOR: 1.82, 95%CI: 1.24 - 2.67, P = 0.002). Mothers who gave birth with less than 37 weeks of gestation (AOR: 1.52, 95%CI: 1.01 - 2.28, P = 0.046) were also associated with the highest odds of CS. Conversely, mothers who lived without a partner/unmarried (AOR: 0.68, 95%CI: 0.47 - 0.99, P = 0.044), who lived at least 5 km from any public health facility (AOR: 0.63, 95%CI: 0.47 - 0.85, P = 0.003) were associated with lower odds of CS. Conclusion: The prevalence of CS is higher than the ideal rate recommended by the International Healthcare Community. More studies are needed to understand the reasons for such high prevalence at GPHC.
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