Freetown ‒ Sierra Leone has one of the highest rates of maternal mortality in the world, with 717 mothers dying annually for every 100 000 live births as of 2019 (DHS, 2019). One of the primary contributing factors is delayed first visits to health facilities by mothers-to-be. Provision of quality preconception, antenatal, intrapartum and postnatal care to all mothers in also inequitable. High out-of-pocket expenditure for accessing basic care, as well as inadequate delivery of patient-centered care at both primary and secondary levels, compound the challenges.
