Towards Achieving Equity in Utilisation of Maternal Health Services in Selected Sub-Saharan African Countries: Progress and Remaining Challenges in Priority Countries

  • Estelle M. SidzeEmail author
  • Martin K. Mutua
  • Hermann P. Donfouet
Part of the Gender, Development and Social Change book series (GDSC)


This chapter highlights the gaps and challenges towards achieving the Sustainable Development Goal 3, target 3.8 of universal maternal health coverage in sub-Saharan Africa, including financial risk protection and access to safe, quality, and affordable services by 2030. The analysis focuses on priority countries with high maternal mortality rates (i.e., Nigeria, Sierra Leone, Chad, Liberia, the Democratic Republic of Congo, Guinea-Bissau, Côte d’Ivoire, Cameroon, Mali, Niger, and Kenya). Findings show that considerable numbers of poor pregnant women are still not accessing quality maternal health services in the region because of non-existent or weak national financing strategies that do not reduce or eliminate out-of-pocket payments. The need for effective implementation of social (health) protection programmes in these countries is evident, especially health insurance and fee waivers for antenatal care, delivery, and postnatal care. All priority countries should define equity goals with clear targets every 3–5 years and increase the quality and quantity of data monitoring to monitor progress.


Equity Financing Maternal health Africa 


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Copyright information

© The Author(s) 2020

Authors and Affiliations

  • Estelle M. Sidze
    • 1
    Email author
  • Martin K. Mutua
    • 1
  • Hermann P. Donfouet
    • 1
  1. 1.African Population and Health Research CenterNairobiKenya

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