Angola continues to experience a high maternal mortality ratio. This situation is compounded by broader sustainable development challenges, including inadequate infrastructure, economic disparities, and environmental concerns. This study analyses the interconnection between sustainable development factors and maternal healthcare outcomes in Angola. Its primary objective is to identify the key development factors most directly influencing maternal health and to propose an integrated framework for interventions. A mixed-methods approach was used, synthesising quantitative data from national health surveys with qualitative data from focus group discussions. Participants included healthcare providers and community health workers from selected provinces. A thematic analysis integrated the findings. The analysis identified 'access as a multi-dimensional barrier', where geographical distance to clinics was exacerbated by poor transport infrastructure and economic constraints. A positive correlation was found between regions with integrated community health programmes and improved antenatal attendance rates. Maternal health outcomes in Angola are inextricably linked to progress across multiple sustainable development sectors. Isolated clinical interventions are insufficient without parallel advancements in infrastructure, education, and economic empowerment. Policymakers should adopt integrated, cross-sectoral strategies. Maternal health programmes must be co-designed with transport and rural development initiatives. Investment in training and retaining community-based midwives is also essential. Maternal health, Sustainable Development Goals, Angola, healthcare access, cross-sectoral integration, maternal mortality. This paper provides an integrated analysis for Angola, proposing a practical framework that links sustainable development directly to maternal healthcare delivery.
Santos et al. (2003) studied this question.