In 2018, Burkina Faso had a caesarean section rate of 3%, a six-fold increase from the 0.5% rate in 2000. This growth could be explained by a policy of decentralisation of care and exemption of caesarean section payment by users . By training general practitioners to carry out joint operations, including Caesarean sections, while reducing the financial barrier, Burkina Faso has made it easier for pregnant women to have access to Caesarean sections. The success of this policy is also reflected in a reduction in the caesarean section case-fatality rate from 2% in 2001 to 0.15% in 2014. However, this considerable progress has been accompanied by some abuses and an inappropriate use of the Caesarean section. Between 2016 and 2018 several studies have shown that almost a quarter of the caesarean sections performed are not medically justified.
Moreover, this national rate of 3%, below the minimum rate of 5% recommended by the WHO, suggests that over- and under-use of C-sections co-exist and weaken an already fragile health system.
Source: Trends in caesarean section rates and places of delivery in Burkina Faso (I. Sombie et al.)