Liberia, with a population of around 4.9million in 2019, continues to rebuild its health system following the devastating civil war (1989 -2003) that saw its infrastructure destroyed and many of its health workers emigrate. More than half the population lives in poverty with approximately one-quarter living in extreme poverty. Liberia ranks at the bottom of the Human Development Index. Maternal Mortality remains very high, at 661 deaths per 100,000 in 2017.
The charity is currently working with several hospitals across the country, providing clinical skills sharing workshops and medication distribution.
Sierra Leone, with a population estimated around 7.8 million in 2019, emerged from a 10-year civil war in 2002. Recovery has been slow and, though the country has experienced substantial economic growth in recent years, it remains ranked 177 out of 187 by the United Nations Human Development Index and over half the population live in extreme poverty. Significant development and health challenges lie ahead. The maternal mortality ratio remains high at around 1,120 deaths/100,000 live births (2016 est.) and there are large disparities between urban and rural areas, with the majority of the population living in the latter.
The charity has been continuing midwifery skill exchange visits and has also scaled up medication distribution to prevent death from the biggest killer, Post-Partum Haemorrhage (PPH).
Cameroon, on the Gulf of Guinea, is a Central African country of varied terrain and wildlife. Its inland capital, Yaoundé, and its biggest city, the seaport Douala, are transit points to ecotourism sites.
Cameroon is no exception where maternal mortality continues to escalate and the target to reduce maternal deaths and ensure universal access to family planning services is far from being met.
Women and girls in Cameroon experience difficulties accessing quality health care services.
DEMOCRATIC REPUBLIC OF CONGO
The Democratic Republic of the Congo (DRC) is the third largest country in Africa with a population of around 89.5 million. Considered to be the richest country in the region for natural resources, its population is among the poorest. The country has suffered years of conflict and instability, which continues in the Eastern provinces. Despite a nationwide push to improve maternal and infant mortality, the DRC remains one of the worst countries to be pregnant. The lifetime risk of maternal death is 1 in 30 women. The Maternal Mortality ratio decreased from 900 deaths per 100,000 live births in 1990 to 473per 100,000 in 2017.