A recent report on global maternal mortality by the World Health Organization (WHO) reveals a hard truth: the world has been ignoring the needs of pregnant women. While there have been substantial reductions in maternal death rates since 2000, progress has stalled or been reversed in some countries after 2015, even before COVID-19 exacerbated the situation. Nations affected by humanitarian emergencies, conflicts, and other crises fared the worst.

Last April, Eless Limani set out on a long and costly bicycle ride to the Mponela Health Center to get a new supply of birth control pills, her usual contraceptive. The 32-year-old mother was not ready to have a second child.