The U.N. has warned that reductions in international aid risk reversing years of progress in lowering maternal mortality rates and could trigger a surge in deaths during pregnancy and childbirth.
Globally, there was a 40% decline in maternal deaths between 2000 and 2023, a report by U.N. agencies including the World Health Organization (WHO) showed Monday, largely due to better access to essential health services.
That could now go into reverse, the WHO said in a statement accompanying the report that did not mention specific cuts but came in the wake of a foreign aid freeze by the U.S. government and the ending of funding through the United States Agency for International Development (USAID) for many programs.
Other donor countries, including the U.K., have also announced plans to cut aid budgets.
"One of the headline messages is that the funding cuts risk not only that progress, but we could have a shift backward," said Dr. Bruce Aylward, assistant director-general, Universal Health Coverage at the WHO.
The cuts have had "pandemic-like effects" on health systems globally and could have a "more structural, deep-seated effect," Aylward added.
The WHO said the cuts were already rolling back vital services for maternal, newborn and child health in many countries, reducing staff numbers, closing facilities and disrupting supply chains for supplies including treatments for hemorrhage and pre-eclampsia.
Cuts to other areas, such as malaria and HIV treatment, would also impact maternal survival, the U.N. said.
Even before the aid cuts led by the United States, things were backsliding in some countries, and progress has slowed globally since 2016, the report said.
In 2023, despite recent progress, a woman still died roughly every two minutes – around 260,000 in total that year – from complications that were mainly preventable and treatable, it added.
The situation was particularly bad in countries affected by conflict or natural disaster, although the U.S. itself is one of only four countries to have seen its maternal mortality rate increase significantly since 2000, alongside Venezuela, the Dominican Republic and Jamaica.
The COVID-19 pandemic also had an impact, the report said: 40,000 more women died due to pregnancy or childbirth in 2021, bringing the total number of deaths that year to 322,000.
"While this report shows glimmers of hope, the data also highlights how dangerous pregnancy still is in much of the world today – despite the fact that solutions exist," WHO Director-General Tedros Adhanom Ghebreyesus said.
The report itself was part-funded by USAID.
