This report uses data from surveys conducted by The Demographic and Health Surveys (DHS) Program in Sierra Leone, in 2008 and 2013, to examine changes and improvements in maternal health indicators. The indicators for modern contraceptive use, four or more antenatal care visits, deliveries by a skilled birth attendant, deliveries in a facility, deliveries by Caesarean-section, and postnatal care visits all improved
significantly between the two surveys. For some of these indicators, the improvements were not always equitable or significant for all subgroups of women. However, improvements in access to antenatal and
postnatal care were successful in closing gaps between subgroups of women. Similar improvements in equity are needed for the remaining maternal health indicators. There were only small and mainly nonsignificant
changes for women with high-risk fertility behavior, a finding that indicates the need to increase education and awareness among women and in communities on the dangers of risky childbearing behavior.
Further improvements in infrastructure, availability of commodities, training in emergency obstetric care,and referral systems are required if Sierra Leone is to achieve better maternal health.