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Recent data reveals a troubling reversal in the progress made towards reducing maternal mortality, driven largely by significant reductions in foreign aid. As the world observes International Mothers’ Day, experts warn that critical health services for women and newborns are collapsing in several regions, particularly in sub-Saharan Africa.
A Setback in Global Health Progress
Over the past two decades, the global maternal mortality rate has significantly declined, achieving a commendable reduction of 40%. However, new figures from the World Health Organisation (WHO) indicate that this progress is now stalling, with aid reductions threatening to undo years of hard-won gains. The cuts, particularly those implemented by the United States under the previous administration, have been drastic, with a reported 57% decrease in foreign assistance programmes last year alone.
According to the latest statistics, global aid has fallen by 23% between 2024 and 2025 and is expected to decrease further by 5.8% in 2026. The ramifications of these cuts are most acute in regions like the Central African Republic (CAR), which currently faces one of the highest neonatal mortality rates in the world.
The Crisis in the Central African Republic
The Central African Republic, burdened by ongoing civil conflict and economic instability, is witnessing the devastating impacts of these aid cuts firsthand. As resources dwindle, healthcare facilities struggle to operate. Essential services such as midwifery and maternal clinics are shuttering, leaving vulnerable populations without access to critical care.
Busayna, a 25-year-old woman who fled violence in Darfur, recounted her harrowing experience during childbirth. With no funds for transportation or food, she had to walk to the nearest clinic while in labour. Tragically, her cousin recently lost her life during childbirth due to a lack of medical support. “We couldn’t afford the medicine or blood she needed from the hospital,” Busayna lamented, highlighting the dire state of healthcare in the region.
The Deteriorating Statistics
The WHO reports that the global maternal mortality rate now stands at 197 deaths per 100,000 live births, with many nations far exceeding this figure. The majority of maternal deaths are attributed to preventable causes such as severe bleeding, infections, and complications during pregnancy.
Studies indicate that the reduction in aid could lead to an alarming increase in maternal deaths—potentially 23 million additional fatalities worldwide by 2030. In the CAR, projections suggest a staggering 1,000 additional maternal deaths per 100,000 live births within a year if current trends continue.
Dr Ngonzo Lezin, a hospital director in the CAR, voiced his concerns, stating, “We are returning to rudimentary practices, which will only increase mortality.” The loss of skilled health workers, particularly in maternity wards, poses a grave threat to the lives of women and children.
The Global Aid Landscape
The implications of slashed aid extend beyond the Central African Republic. In the UK, significant cuts to foreign aid are being implemented, with plans to reduce support for African nations from £1.3 billion to £677 million over the next three years. This reduction will severely impact healthcare programmes in countries already facing immense challenges.
Monica Ferro, head of the United Nations Population Fund’s London office, expressed deep concern, stating, “When funding is cut, services are shut down and women die. It is that simple.” The sentiment is echoed among healthcare professionals who fear the long-term consequences of these funding cuts.
Why it Matters
The reversal in progress towards reducing maternal mortality is not just a statistic; it represents a catastrophic failure to protect the lives of women and children in some of the world’s most vulnerable regions. As foreign aid diminishes, the promise of safe childbirth and maternal health is slipping away. This crisis demands urgent attention and action, for the health of future generations depends on reversing these damaging trends. Without renewed commitment and support, the gains made over the past two decades could be lost, leaving countless families and communities facing unimaginable grief and hardship.
