Countries in North America Ranked by Maternal mortality ratio (2023)

Name: Countries in North America Ranked by Maternal mortality ratio
Creator: The World Bank
License: https://creativecommons.org/licenses/by/4.0/

Maternal mortality ratio: each country's latest value (2018–2023), ranked from highest to lowest. Source: The World Bank (CC BY 4.0).

Summary

Haiti ranks #1 with 328 deaths per 100,000 live births. That is 2.5 times Jamaica in second place (130 deaths per 100,000 live births). The top five are Haiti, Jamaica, Dominican Republic, Guatemala and Bahamas, The. The median across all 24 is 45.5 deaths per 100,000 live births; Puerto Rico (US) is last at 11 deaths per 100,000 live births. Haiti's figure has fallen 29% since 1999 (464 deaths per 100,000 live births to 328 deaths per 100,000 live births in 2023).

#1: Haiti · 328 deaths per 100,000 live births
Median: 45.5 deaths per 100,000 live births
Coverage: 24 countries in North America
Data year: 2023
Last updated: 2026-11-14

Top 10: Maternal mortality ratio (deaths per 100,000 live births). Bar chart of the top 10: 1. Haiti 328; 2. Jamaica 130; 3. Dominican Republic 124; 4. Guatemala 94; 5. Bahamas, The 76; 6. St. Kitts and Nevis 74; 7. Belize 67; 8. Nicaragua 60; 9. St. Vincent and the Grenadines 56; 10. Trinidad and Tobago 54.

Maternal mortality ratio over time, top 5 (deaths per 100,000 live births). Haiti: 464 in 1999 to 328 in 2023; Jamaica: 81 in 1999 to 130 in 2023; Dominican Republic: 92 in 1999 to 124 in 2023; Guatemala: 174 in 1999 to 94 in 2023; Bahamas, The: 54 in 1999 to 76 in 2023.

Full ranking

Countries in North America Ranked by Maternal mortality ratio, 2023
Rank	Country	Maternal mortality ratio (deaths per 100,000 live births)
1	Haiti	328
2	Jamaica	130
3	Dominican Republic	124
4	Guatemala	94
5	Bahamas, The	76
6	St. Kitts and Nevis	74
7	Belize	67
8	Nicaragua	60
9	St. Vincent and the Grenadines	56
10	Trinidad and Tobago	54
11	Grenada	48
12	Honduras	47
13	St. Lucia	44
14	Mexico	42
15	El Salvador	39
16	Panama	37
17	Dominica	36
18	Antigua and Barbuda	35
19	Barbados	35
20	Cuba	35
21	Costa Rica	24
22	United States	17
23	Canada	12
24	Puerto Rico (US)	11

About the top 10

#1 Haiti

Haiti ranks #1 on this list with 328 deaths per 100,000 live births.

Capital: Port-au-Prince
Continent: North America
Income group: Lower middle income
Population: 11.91 million people (2025)
GDP: US$32.08 billion (2025)
GDP per person: US$2,694 (2025)
Life expectancy: 65.1 years (2024)
Urban population: 55.6% of population (2025)

Also ranks #2 in prevalence of undernourishment · #4 in time to start a business (days) · #7 in homicide rate.

Full country profile

#2 Jamaica

Jamaica ranks #2 on this list with 130 deaths per 100,000 live births.

Capital: Kingston
Continent: North America
Income group: Upper middle income
Population: 2.84 million people (2025)
GDP: US$22.71 billion (2025)
GDP per person: US$8,003 (2025)
Life expectancy: 71.6 years (2024)
Urban population: 59.4% of population (2025)

Also ranks #3 in debt service share of exports · #4 in homicide rate · #6 in immunisation (dpt) rate.

Full country profile

#3 Dominican Republic

Dominican Republic ranks #3 on this list with 124 deaths per 100,000 live births.

Capital: Santo Domingo
Continent: North America
Income group: Upper middle income
Population: 11.52 million people (2025)
GDP: US$127.41 billion (2025)
GDP per person: US$11,059 (2025)
Life expectancy: 73.9 years (2024)
Urban population: 72.5% of population (2025)

Largest cities: Santo Domingo.

Also ranks #4 in crop production index · #14 in deposit interest rate · #19 in remittances received.

Full country profile

#4 Guatemala

Guatemala ranks #4 on this list with 94 deaths per 100,000 live births.

Capital: Guatemala City
Continent: North America
Income group: Upper middle income
Population: 18.69 million people (2025)
GDP: US$123.31 billion (2025)
GDP per person: US$6,598 (2025)
Life expectancy: 72.7 years (2024)
Urban population: 56.3% of population (2025)

Also ranks #5 in prevalence of stunting (under-5) · #9 in remittances received · #12 in gini index.

Full country profile

#5 Bahamas, The

Bahamas, The ranks #5 on this list with 76 deaths per 100,000 live births.

Capital: Nassau
Continent: North America
Income group: High income
Population: 403,030 people (2025)
GDP: US$15.83 billion (2024)
GDP per person: US$39,455 (2024)
Life expectancy: 74.7 years (2024)
Urban population: 81.3% of population (2025)

Also ranks #6 in access to clean cooking fuels · #10 in homicide rate · #10 in cereal yield.

Full country profile

#6 St. Kitts and Nevis

St. Kitts and Nevis ranks #6 on this list with 74 deaths per 100,000 live births.

Capital: Basseterre
Continent: North America
Income group: High income
Population: 46,922 people (2025)
GDP: US$1.18 billion (2025)
GDP per person: US$25,223 (2025)
Life expectancy: 72.3 years (2024)
Urban population: 31.9% of population (2025)

Also ranks #2 in homicide rate · #3 in completion rate (primary) · #3 in completion rate (lower secondary).

Full country profile

#7 Belize

Belize ranks #7 on this list with 67 deaths per 100,000 live births.

Capital: Belmopan
Continent: North America
Income group: Upper middle income
Population: 422,920 people (2025)
GDP: US$3.33 billion (2025)
GDP per person: US$7,866 (2025)
Life expectancy: 73.7 years (2024)
Urban population: 41.6% of population (2025)

Also ranks #2 in secure internet servers per million · #12 in homicide rate · #14 in time to start a business (days).

Full country profile

#8 Nicaragua

Nicaragua ranks #8 on this list with 60 deaths per 100,000 live births.

Capital: Managua
Continent: North America
Income group: Lower middle income
Population: 7.01 million people (2025)
GDP: US$22.24 billion (2025)
GDP per person: US$3,173 (2025)
Life expectancy: 75.1 years (2024)
Urban population: 59.4% of population (2025)

Also ranks #3 in women in parliament share · #3 in women in ministerial positions share · #28 in homicide rate.

Full country profile

#9 St. Vincent and the Grenadines

St. Vincent and the Grenadines ranks #9 on this list with 56 deaths per 100,000 live births.

Capital: Kingstown
Continent: North America
Income group: Upper middle income
Population: 99,924 people (2025)
GDP: US$1.26 billion (2025)
GDP per person: US$12,562 (2025)
Life expectancy: 71.4 years (2024)
Urban population: 48% of population (2025)

Also ranks #3 in homicide rate · #5 in cereal yield · #6 in youth unemployment rate.

Full country profile

#10 Trinidad and Tobago

Trinidad and Tobago ranks #10 on this list with 54 deaths per 100,000 live births.

Capital: Port of Spain
Continent: North America
Income group: High income
Population: 1.37 million people (2025)
GDP: US$25.94 billion (2025)
GDP per person: US$18,967 (2025)
Life expectancy: 73.6 years (2024)
Urban population: 54% of population (2025)

Also ranks #3 in energy use per capita · #6 in co2 emissions per capita · #8 in homicide rate.

Full country profile

Profile facts: World Bank (CC BY 4.0) and Wikidata (CC0); weather links go to Purr Weather, another ChowChow Labs site.

Source and method

Maternal mortality ratio: each country's latest value (2018–2023), ranked from highest to lowest.

Source: The World Bank, indicator SH.STA.MMRT. Licence: CC BY 4.0. Retrieved: 2026-11-14.

The World Bank: Maternal mortality ratio (modeled estimate, per 100,000 live births): Trends in Maternal Mortality, World Health Organization (WHO) (via World Development Indicators)

Original data provider, as recorded by the World Bank: Trends in Maternal Mortality, World Health Organization (WHO); UN Children's Fund (UNICEF), note: Trends in Maternal Mortality; UN Population Fund (UNFPA), note: Trends in Maternal Mortality.

Values are shown as published. Provider terms: The World Bank. All licences: Sources & licences.

Summary

Full ranking

About the top 10

#1 Haiti

#2 Jamaica

#3 Dominican Republic

#4 Guatemala

#5 Bahamas, The

#6 St. Kitts and Nevis

#7 Belize

#8 Nicaragua

#9 St. Vincent and the Grenadines

#10 Trinidad and Tobago

Related rankings

Source and method