Despite progress in reducing maternal mortality globally, West Africa continues to face alarming disparities in maternal health outcomes.

Every day, hundreds of women in our region give birth. But not all of them survive the journey to motherhood. In fact, West Africa accounts for some of the highest maternal mortality rates in the world. In countries like Nigeria, Sierra Leone, and Mali, many women still face life-threatening complications during pregnancy and childbirth. But why is this happening? The causes are clear—and preventable.

Lack of access to skilled birth attendants, limited emergency obstetric care, poor referral systems, and socio-cultural barriers like early marriage, poor antenatal attendance, and low health literacy are some of the biggest

In this 2-part series, we explore the systemic challenges, cultural dynamics, and policy gaps affecting maternal health in the region—and highlight innovative strategies and community-led solutions that can drive change.