Countries With the Fastest Decline in Maternal mortality ratio (5-Year Change)
Change in Maternal mortality ratio over the five years to each country's latest year, in points (a share or rate is not shown as a % of itself). Only countries that fell are listed. Source: The World Bank (CC BY 4.0).
Summary
Chad fell the most: by 272, from 1,020 deaths per 100,000 live births to 748 deaths per 100,000 live births in the five years to 2023. South Sudan is second (−221), followed by Central African Republic (−189). 155 countries fell over that period; the median change among them was −7.
- #1
- Chad · −272
- Median
- −7
- Coverage
- 155 countries
- Data year
- 2023
- Last updated
- 2026-11-14
Full ranking
| Rank | Country | From | To | 5-year change (deaths per 100,000 live births) |
|---|---|---|---|---|
| 1 | Chad | 1,020 | 748 | −272 |
| 2 | South Sudan | 913 | 692 | −221 |
| 3 | Central African Republic | 881 | 692 | −189 |
| 4 | Somalia, Fed. Rep. | 727 | 563 | −164 |
| 5 | Sierra Leone | 491 | 354 | −137 |
| 6 | Nigeria | 1,118 | 993 | −125 |
| 7 | Afghanistan | 629 | 521 | −108 |
| 8 | Ethiopia | 297 | 195 | −102 |
| 9 | Cameroon | 354 | 258 | −96 |
| 10 | Gambia, The | 450 | 354 | −96 |
| 11 | Côte d'Ivoire | 449 | 359 | −90 |
| 12 | Togo | 435 | 349 | −86 |
| 13 | Congo, Dem. Rep. | 508 | 427 | −81 |
| 14 | Guinea-Bissau | 585 | 505 | −80 |
| 15 | Liberia | 707 | 628 | −79 |
| 16 | Burundi | 464 | 392 | −72 |
| 17 | Eritrea | 363 | 291 | −72 |
| 18 | Niger | 420 | 350 | −70 |
| 19 | Senegal | 305 | 237 | −68 |
| 20 | Benin | 585 | 518 | −67 |
| 21 | Mali | 434 | 367 | −67 |
| 22 | Guinea | 560 | 494 | −66 |
| 23 | Uganda | 232 | 170 | −62 |
| 24 | Mozambique | 159 | 99 | −60 |
| 25 | Namibia | 198 | 139 | −59 |
| 26 | Timor-Leste | 251 | 192 | −59 |
| 27 | Mauritania | 437 | 381 | −56 |
| 28 | Bangladesh | 168 | 115 | −53 |
| 29 | Burkina Faso | 286 | 242 | −44 |
| 30 | Tanzania | 319 | 276 | −43 |
| 31 | Ghana | 276 | 234 | −42 |
| 32 | Malawi | 267 | 225 | −42 |
| 33 | Nepal | 183 | 142 | −41 |
| 34 | Rwanda | 269 | 229 | −40 |
| 35 | Djibouti | 199 | 162 | −37 |
| 36 | Micronesia, Fed. Sts. | 163 | 129 | −34 |
| 37 | Kenya | 183 | 149 | −34 |
| 38 | Lao PDR | 145 | 112 | −33 |
| 39 | Zambia | 117 | 85 | −32 |
| 40 | Comoros | 209 | 179 | −30 |
| 41 | Equatorial Guinea | 204 | 174 | −30 |
| 42 | Guyana | 105 | 75 | −30 |
| 43 | Haiti | 358 | 328 | −30 |
| 44 | Indonesia | 168 | 140 | −28 |
| 45 | Zimbabwe | 386 | 358 | −28 |
| 46 | India | 107 | 80 | −27 |
| 47 | Angola | 208 | 183 | −25 |
| 48 | São Tomé and Principe | 100 | 75 | −25 |
| 49 | Pakistan | 178 | 155 | −23 |
| 50 | Madagascar | 466 | 445 | −21 |
| 51 | Congo, Rep. | 259 | 241 | −18 |
| 52 | Suriname | 101 | 84 | −17 |
| 53 | Myanmar | 201 | 185 | −16 |
| 54 | Papua New Guinea | 205 | 189 | −16 |
| 55 | Yemen, Rep. | 134 | 118 | −16 |
| 56 | Peru | 66 | 51 | −15 |
| 57 | Eswatini | 133 | 118 | −15 |
| 58 | Cambodia | 151 | 137 | −14 |
| 59 | Algeria | 75 | 62 | −13 |
| 60 | Guatemala | 107 | 94 | −13 |
| 61 | Lesotho | 491 | 478 | −13 |
| 62 | Morocco | 83 | 70 | −13 |
| 63 | Solomon Islands | 136 | 123 | −13 |
| 64 | Marshall Islands | 167 | 155 | −12 |
| 65 | Sudan | 268 | 256 | −12 |
| 66 | Bolivia | 157 | 146 | −11 |
| 67 | Iraq | 76 | 66 | −10 |
| 68 | South Africa | 128 | 118 | −10 |
| 69 | Samoa | 110 | 101 | −9 |
| 70 | Bhutan | 55 | 47 | −8 |
| 71 | Colombia | 67 | 59 | −8 |
| 72 | Maldives | 40 | 32 | −8 |
| 73 | Philippines | 92 | 84 | −8 |
| 74 | Vanuatu | 108 | 100 | −8 |
| 75 | Dominica | 43 | 36 | −7 |
| 76 | Kyrgyz Republic | 49 | 42 | −7 |
| 77 | Kiribati | 87 | 80 | −7 |
| 78 | Libya | 66 | 59 | −7 |
| 79 | Nicaragua | 67 | 60 | −7 |
| 80 | Seychelles | 49 | 42 | −7 |
| 81 | Tonga | 74 | 67 | −7 |
| 82 | Bahamas, The | 82 | 76 | −6 |
| 83 | China | 22 | 16 | −6 |
| 84 | Ecuador | 61 | 55 | −6 |
| 85 | Panama | 43 | 37 | −6 |
| 86 | Argentina | 38 | 33 | −5 |
| 87 | Armenia | 24 | 19 | −5 |
| 88 | Fiji | 35 | 30 | −5 |
| 89 | Honduras | 52 | 47 | −5 |
| 90 | Jordan | 36 | 31 | −5 |
| 91 | Viet Nam | 53 | 48 | −5 |
| 92 | Costa Rica | 28 | 24 | −4 |
| 93 | Cuba | 39 | 35 | −4 |
| 94 | Georgia | 24 | 20 | −4 |
| 95 | St. Kitts and Nevis | 78 | 74 | −4 |
| 96 | Latvia | 23 | 19 | −4 |
| 97 | Mongolia | 45 | 41 | −4 |
| 98 | El Salvador | 43 | 39 | −4 |
| 99 | Australia | 5 | 2 | −3 |
| 100 | Azerbaijan | 21 | 18 | −3 |
Showing the top 100 of 155. Premium downloads the full list as CSV or JSON.
About the top 10
#1 Chad
Chad ranks #1 on this list with −272.
- Capital
- N'Djamena
- Continent
- Africa
- Income group
- Low income
- Population
- 21 million people (2025)
- GDP
- US$21.47 billion (2025)
- GDP per person
- US$1,022 (2025)
- Life expectancy
- 55.2 years (2024)
- Urban population
- 27.6% of population (2025)
Largest cities: N'Djamena.
Also ranks #1 in fertility rate · #2 in birth rate · #2 in maternal mortality ratio.
#2 South Sudan
South Sudan ranks #2 on this list with −221.
- Capital
- Juba
- Continent
- Africa
- Income group
- Low income
- Population
- 12.19 million people (2025)
- Life expectancy
- 57.7 years (2024)
- Urban population
- 21.7% of population (2025)
- Currency
- South Sudanese pound
- Official languages
- English
Also ranks #1 in infant mortality rate · #4 in inflation rate · #4 in maternal mortality ratio.
#3 Central African Republic
Central African Republic ranks #3 on this list with −189.
- Capital
- Bangui
- Continent
- Africa
- Income group
- Low income
- Population
- 5.51 million people (2025)
- GDP
- US$3.07 billion (2025)
- GDP per person
- US$556.1 (2025)
- Life expectancy
- 57.7 years (2024)
- Urban population
- 44.6% of population (2025)
Also ranks #1 in population ages 0-14 share · #1 in age dependency ratio · #1 in age dependency ratio (young).
#4 Somalia, Fed. Rep.
Somalia, Fed. Rep. ranks #4 on this list with −164.
- Capital
- Mogadishu
- Continent
- Africa
- Income group
- Low income
- Population
- 19.66 million people (2025)
- GDP
- US$13 billion (2025)
- GDP per person
- US$661.2 (2025)
- Life expectancy
- 59 years (2024)
- Urban population
- 55.1% of population (2025)
Largest cities: North East State of Somalia, Mogadishu.
Also ranks #1 in prevalence of undernourishment · #2 in population ages 0-14 share · #2 in age dependency ratio (young).
#5 Sierra Leone
Sierra Leone ranks #5 on this list with −137.
- Capital
- Freetown
- Continent
- Africa
- Income group
- Low income
- Population
- 8.82 million people (2025)
- GDP
- US$7.46 billion (2025)
- GDP per person
- US$846.3 (2025)
- Life expectancy
- 62 years (2024)
- Urban population
- 45.9% of population (2025)
Also ranks #1 in school enrolment (primary) · #7 in under-5 mortality rate · #8 in forest rents share of gdp.
#6 Nigeria
Nigeria ranks #6 on this list with −125.
- Capital
- Abuja
- Continent
- Africa
- Income group
- Lower middle income
- Population
- 237.53 million people (2025)
- GDP
- US$290.79 billion (2025)
- GDP per person
- US$1,224 (2025)
- Life expectancy
- 54.6 years (2024)
- Urban population
- 63.8% of population (2025)
Largest cities: Lagos, Kano, Port Harcourt.
Also ranks #1 in under-5 mortality rate · #1 in maternal mortality ratio · #1 in children out of school (primary).
#7 Afghanistan
Afghanistan ranks #7 on this list with −108.
- Capital
- Kabul
- Continent
- Asia
- Income group
- Low income
- Population
- 43.84 million people (2025)
- GDP
- US$17.78 billion (2024)
- GDP per person
- US$416.9 (2024)
- Life expectancy
- 66.3 years (2024)
- Urban population
- 25.9% of population (2025)
Largest cities: Kabul.
Also ranks #1 in refugee population by origin · #4 in health expenditure share of gdp · #6 in agriculture value added share of gdp.
#8 Ethiopia
Ethiopia ranks #8 on this list with −102.
- Capital
- Addis Ababa
- Continent
- Africa
- Income group
- Low income
- Population
- 135.47 million people (2025)
- GDP
- US$126.36 billion (2025)
- GDP per person
- US$932.7 (2025)
- Life expectancy
- 67.6 years (2024)
- Urban population
- 24.1% of population (2025)
Largest cities: Addis Ababa.
Also ranks #3 in children out of school (primary) · #6 in rural population · #6 in gdp growth rate.
#9 Cameroon
Cameroon ranks #9 on this list with −96.
- Capital
- Yaoundé
- Continent
- Africa
- Income group
- Lower middle income
- Population
- 29.88 million people (2025)
- GDP
- US$58.93 billion (2025)
- GDP per person
- US$1,972 (2025)
- Life expectancy
- 64 years (2024)
- Urban population
- 55.7% of population (2025)
Largest cities: Douala, Yaoundé, Garoua.
Also ranks #10 in pm2.5 air pollution exposure · #11 in pupil-teacher ratio (primary) · #15 in age dependency ratio (young).
#10 Gambia, The
Gambia, The ranks #10 on this list with −96.
- Capital
- Banjul
- Continent
- Africa
- Income group
- Low income
- Population
- 2.82 million people (2025)
- GDP
- US$2.59 billion (2025)
- GDP per person
- US$919.1 (2025)
- Life expectancy
- 66.1 years (2024)
- Urban population
- 65% of population (2025)
Also ranks #2 in gender parity index (school enrolment) · #3 in arable land share · #7 in gross capital formation rate.
Profile facts: World Bank (CC BY 4.0) and Wikidata (CC0); weather links go to Purr Weather, another ChowChow Labs site.
Source and method
Change in Maternal mortality ratio over the five years to each country's latest year, in points (a share or rate is not shown as a % of itself). Only countries that fell are listed.
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 (changes are computed from the published values). Provider terms: The World Bank. All licences: Sources & licences.