Unveiling the Country with the Highest Maternal Mortality Rate: A Disturbing Reality

Maternal health Vectors & Illustrations for Free Download | Freepik


Maternal mortality, the death of a woman during pregnancy, childbirth, or within 42 days of delivery, remains a pressing global issue. While significant progress has been made in reducing maternal deaths worldwide, there are still countries where this problem persists. In this article, we delve into the disturbing reality of the country with the highest maternal mortality rate and explore the underlying factors contributing to this tragic situation.

Understanding Maternal Mortality

Maternal mortality is a critical indicator of a nation’s healthcare system and the overall well-being of women. It reflects the availability, accessibility, and quality of maternal healthcare services. According to the World Health Organization (WHO), approximately 295,000 maternal deaths occurred globally in 2017. While this number represents a significant decline from previous years, it is still an alarming figure.

Unveiling the Country with the Highest Maternal Mortality Rate

Regrettably, the country with the highest maternal mortality rate is Sierra Leone. Situated on the western coast of Africa, Sierra Leone faces substantial challenges in providing adequate maternal healthcare to its population. The country’s maternal mortality rate is estimated to be around 1,360 deaths per 100,000 live births. This figure is in stark contrast to the global average of approximately 211 deaths per 100,000 live births.

Factors Contributing to High Maternal Mortality

Several factors contribute to Sierra Leone’s distressingly high maternal mortality rate:

  1. Limited Access to Healthcare Facilities: A significant obstacle in Sierra Leone is the limited access to healthcare facilities, especially in rural areas. Many women must travel long distances to reach a hospital or clinic, resulting in delays in receiving essential prenatal and obstetric care.
  2. Lack of Skilled Birth Attendants: The scarcity of skilled birth attendants is a critical issue. Trained healthcare professionals, such as midwives and obstetricians, play a vital role in ensuring safe deliveries and managing complications. In Sierra Leone, the shortage of skilled birth attendants significantly hampers the provision of quality maternal healthcare.
  3. Inadequate Infrastructure and Resources: Insufficient infrastructure, including medical facilities, equipment, and supplies, poses a significant challenge in Sierra Leone. This lack of essential resources further exacerbates the difficulties in delivering effective maternal healthcare.
  4. Socioeconomic Factors: Poverty, low educational attainment, and gender inequalities are contributing factors to high maternal mortality. Women living in poverty often lack the financial means to access healthcare services or transport themselves to healthcare facilities, making them more vulnerable to complications during pregnancy and childbirth.
  5. Lingering Effects of Civil War: Sierra Leone’s civil war, which lasted from 1991 to 2002, devastated the country’s infrastructure, healthcare system, and economy. The lasting effects of the conflict have hindered the progress in maternal healthcare, with limited resources available for rebuilding and improvement.

Efforts and Solutions

Addressing the high maternal mortality rate in Sierra Leone requires a comprehensive approach that focuses on multiple aspects:

  1. Improving Healthcare Infrastructure: Investing in healthcare infrastructure is crucial to expanding access to quality maternal healthcare services. This includes establishing well-equipped healthcare facilities, particularly in rural areas, and improving transportation systems for pregnant women.
  2. Strengthening Health Workforce: Training and deploying skilled birth attendants, midwives, and obstetricians are essential steps toward reducing maternal mortality. Emphasizing education and incentivizing healthcare professionals to work in underserved areas can help alleviate the shortage of skilled personnel.
  3. Enhancing Prenatal Care: Early and regular prenatal care plays a vital role in detecting and managing complications. Implementing community-based programs that emphasize prenatal visits and health education can improve maternal and neonatal outcomes.
  4. Promoting Women’s Empowerment: Addressing socioeconomic factors requires efforts to empower women through education, economic opportunities, and improved access to family planning services. Promoting gender equality and women’s rights can contribute to reducing maternal mortality.
  5. International Collaboration: International organizations, such as WHO, UNICEF, and NGOs, can support Sierra Leone’s efforts through funding, technical expertise, and knowledge exchange. Collaborative initiatives can help implement evidence-based practices and provide resources to strengthen the country’s healthcare system.


Sierra Leone’s high maternal mortality rate reflects the urgent need for sustainable solutions to improve maternal healthcare. By addressing the underlying factors and implementing comprehensive strategies, Sierra Leone can take significant strides toward reducing maternal deaths and ensuring the well-being of its women. International support and collaboration are pivotal in assisting the country in achieving this critical objective and creating a future where maternal mortality becomes a thing of the past.

Related Articles

Back to top button