Deka and Mohammed; an emergency caesarian section paid for by UNICEF saved their lives in Garissa, NE Kenya

In nearly all countries rich women have a much higher percentage of caesarean births than poor women, so even if the national average seems adequate, poor women may still be unable to access this life-saving intervention. In some countries you find both excessively high rates amongst the rich women suggestive of over-intervention, alongside an unacceptable low rates – suggesting high unmet need – amongst the poorest women.