Nigel Deen

Harvard College ‘12

Department of Health Policy and Management, Harvard School of Public Health



The purpose of this study is to evaluate the quantity and quality of care that pregnant mothers receive from health institutions in Sierra Leone, as well as explore the social determinants that prove especially important in reducing maternal mortality rates. I sought to determine: (1) the current state of the maternal health care infrastructure in Sierra Leone, (2) the patterns of care-seeking by pregnant Sierra Leonean women, and (3) the barriers to the delivery of maternal care. By interviewing pregnant women and collecting data on government hospitals, I assessed the level and quality of available maternal care. I was able to distinguish physical, cultural and resource barriers that impact maternal health outcomes.


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