This narrative review aims to synthesize and critically evaluate the significant strides made by Sierra Leone in reducing maternal mortality rates over the past decade, examining policies, interventions, and persistent challenges. We conducted a narrative synthesis of the literature. Electronic databases (PubMed, Google Scholar) and reports from key organizations (WHO, UNFPA, Ministry of Health) were searched for English-language publications (2000–2024) using terms including “maternal mortality,” “Sierra Leone,” and “health policy.” Relevant evidence was selected to provide a comprehensive overview of trends, initiatives, and system-level factors. Sierra Leone has achieved substantial progress, with the maternal mortality ratio (MMR) declining from approximately 2,480 (2000) to 442 (2020) deaths per 100,000 live births, a reduction of nearly 60%. Key drivers include the government's Free Healthcare Initiative, strengthened healthcare infrastructure, and innovative technologies like mobile health and telemedicine. However, critical challenges remain, including rural healthcare access, workforce shortages, and gaps in the quality of care. The review confirms that Sierra Leone has made remarkable strides in reducing maternal mortality, transitioning from previously high rankings to significant improvements. The MMR dropped by nearly 60% from 2000 to 2024. Despite these advances, continued efforts are essential to address remaining challenges and further enhance maternal health outcomes.
Bah et al. (Thu,) studied this question.