FIGURE 2.8 Too Many Caesareans or Too Few? Rates of Caesarean deliveries vary widely from nation to nation. Aside from China, Latin America has the highest rates in the world (note that 40 percent of all births in Chile are by Caesarean), and sub-Saharan Africa has the lowest rates (the rate in Chad is less than half of 1 percent). The underlying issue is whether some women who should have Caesareans do not get them, while other women have unnecessary Caesareans.