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. 2013 Aug 9;91(12):914–922D. doi: 10.2471/BLT.13.117598

Table 1. Caesarean delivery rates and mean annual increases in such rates, by country and survey year, southern Asia and sub-Saharan Africa, 1990–2011.

Country Survey period
Annual increaseb
Before 1997
1997–2001
2002–2006
2007–2011
All women
Women in two poorest quintiles
Year Ratea (%) Year Ratea (%) Year Ratea (%) Year Ratea (%) % (95% CI) % (95% CI)
Southern Asia
Bangladesh 2000 2.37 2004 3.38 2007 7.52 1.19 (1.16–1.22) 1.30 (1.19–1.42)
India 1992 2.40 1999 6.82 2006 8.37 1.09 (1.08–1.10) 1.09 (1.07–1.11)
Nepal 1996 0.83 2001 0.82 2006 2.63 2011 4.59 1.15 (1.12–1.17) 1.13 (1.05–1.21)
Pakistan 1991 2.30 2006 7.15 1.08 (1.06–1.10) 1.11 (1.05–1.17)
Western and central Africa
Benin 1996 1.94 2001 3.20 2006 3.43 1.05 (1.03–1.07) 1.03 (0.99–1.08)
Burkina Faso 1993 1.08 1999 1.06 2003 0.64 2010 1.81 1.04 (1.02–1.06) 1.03 (0.98–1.09)
Cameroon 1991 1.87 1998 2.17 2004 1.94 1.00 (0.97–1.03) 0.94 (0.87–1.01)
Chad 1997 0.38 2004 0.44 0.99 (0.91–1.06) c
Côte d’Ivoire 1994 0.42 1999 1.91 2005 4.66 1.18 (1.12–1.23) 1.17 (1.09–1.26)
Ghana 1993 3.79 1998 3.69 2003 3.69 2008 6.46 1.04 (1.02–1.06) 1.06 (1.01–1.10)
Guinea 1999 1.50 2005 1.66 1.01 (0.96–1.06) 0.97 (0.84–1.09)
Mali 1996 0.30 2001 0.90 2006 0.91 1.07 (1.03–1.11) 1.08 (0.99–1.17)
Niger 1998 0.50 2006 0.97 1.07 (1.02–1.12) 1.11 (0.95–1.27)
Nigeria 1990 1.85 2003 1.66 2008 1.73 1.00 (0.98–1.01) 0.94 (0.91–0.97)
Senegal 2005 2.87 2011 4.75 1.05 (1.01–1.09) 1.11 (1.04–1.17)
Eastern and southern Africa
Ethiopia 2000 0.63 2005 0.97 2011 1.44 1.08 (1.05–1.11) 1.10 (0.99–1.21)
Kenya 1993 4.31 1998 5.40 2003 3.93 2009 5.81 1.02 (1.00–1.03) 1.00 (0.97–1.03)
Lesotho 2004 5.05 2009 6.54 1.06 (1.02–1.10) 1.02 (0.95–1.09)
Madagascar 1997 0.47 2004 1.01 2009 1.42 1.07 (1.03–1.12) 1.02 (0.91–1.13)
Malawi 1992 3.14 2000 2.71 2004 2.95 2010 4.53 1.03 (1.02–1.05) 1.03 (1.01–1.05)
Mozambique 1997 1.96 2003 1.83 1.00 (0.93–1.07) 0.85 (0.62–1.09)
Rwanda 1992 1.39 2000 2.09 2005 2.94 2010 6.94 1.11 (1.10–1.13) 1.12 (1.10–1.15)
Uganda 1995 2.11 2000 2.52 2006 3.02 2011 5.22 1.06 (1.05–1.08) 1.06 (1.03–1.09)
United Republic of Tanzania 1996 2.14 1999 2.83 2004 3.10 2010 4.25 1.05 (1.03–1.07) 1.05 (1.01–1.08)
Zambia 1996 1.73 2002 1.97 2007 2.82 1.04 (1.02–1.07) 1.07 (1.01–1.12)
Zimbabwe 1994 5.55 1999 6.79 2005 4.70 2010 4.44 0.98 (0.97–0.99) 0.95 (0.92–0.98)

CI, confidence interval.

a Caesarean delivery rates are expressed as percentages of the deliveries that ended in a live birth, excluding all but the last born of the neonates delivered in each multiple birth. These rates take into account sampling weights.

b The 95% CIs take into account sampling clusters, strata and sampling weights.

c In the Demographic and Health Surveys that have been conducted in Chad, only two caesarean deliveries have ever been recorded among women in the lowest two percentiles for wealth, both of them in 1992.