Countries by maternal mortality ratio

The Central African Republic had the highest maternal mortality ratio of 195 countries in 2021, at 1,127 per 100,000 live births. Cook Islands had the lowest, at 0 per 100,000 live births. The median was 77 per 100,000 live births. Source: World Health Organization.

Highest1,127Central African Republic

Lowest0Cook Islands

Median77195 countries

Top 40 countries, 2021

per 100,000 live births. Source: World Health Organization, Maternal mortality ratio (per 100 000 live births) (MDG_0000000026). Retrieved 2026-10-12.

Full ranking

Rank	Countries	2021 per 100,000 live births	Change on 2020
1	Central African Republic	1,127	-169.1
2	Nigeria	1,046	-18.6
3	Chad	869	-8.7
4	South Sudan	749	+20.2
5	Somalia	726	+70.9
6	Liberia	667	+3.3
7	Afghanistan	660	+26.6
8	Guinea-Bissau	617	+14.4
9	Benin	584	+5.9
10	Lesotho	577	+48.2
11	Guinea	533	+5.1
12	Democratic Republic of the Congo	507	+17.5
13	Madagascar	467	+19.3
14	Côte d’Ivoire	459	+11.7
15	Burundi	447	+5.8
16	Zimbabwe	446	+66.4
17	Mauritania	425	+12.4
18	Kenya	421	-0.3
19	Gambia	420	+19.9
20	Mali	415	+9.9
21	Sierra Leone	403	-19
22	Togo	397	-1.2
23	Niger	396	+8.3
24	Haiti	385	+38.4
25	Burkina Faso	354	+20
26	Cameroon	342	+26.7
27	Eritrea	338	+4.8
28	Sudan	305	+31.7
29	Republic of the Congo	301	+54.1
30	Malawi	286	+29.3
31	Bolivia	270	+52.2
32	Nauru	266	-43.4
33	Ghana	264	+11.2
34	Senegal	263	+10.6
35	Timor-Leste	263	+5.4
36	Namibia	254	+110.8
37	Rwanda	254	+1.8
38	Venezuela	251	+44.2
39	Ethiopia	250	+5.7
40	Gabon	249	+55.6
41	Myanmar	231	+33.1
42	Indonesia	226	+42
43	Papua New Guinea	223	+28.9
44	Djibouti	221	+29.7
45	Eswatini	219	+117.1
46	Uganda	216	+6.3
47	Comoros	215	+16.3
48	Angola	211	+15.7
49	Marshall Islands	206	+27.9
50	Equatorial Guinea	202	+6.1
51	Bangladesh	194	+42
52	Pakistan	193	+15
53	South Africa	191	+72.9
54	Guyana	189	+80.4
55	Cambodia	189	+24.8
56	Jamaica	186	+60.1
57	Bahamas	174	+89.9
58	Nepal	173	+20.3
59	Cuba	172	+131.7
60	Botswana	165	+67.6
61	Tanzania	162	+2.3
62	Mozambique	161	+50.3
63	Tuvalu	157	-49.4
64	Belize	157	+68.1
65	Yemen	156	+20.9
66	Micronesia	155	+5.2
67	India	155	+54.3
68	Philippines	153	+64.2
69	Solomon Islands	153	+21.4
70	Dominican Republic	153	+31.1
71	Colombia	147	+53
72	Suriname	144	+49.8
73	Peru	141	+66.4
74	Zambia	140	+41.5
75	Paraguay	140	+71.3
76	Laos	139	+6.8
77	Brazil	128	+43.1
78	Guatemala	125	+22.8
79	Vanuatu	124	+16.9
80	Nicaragua	124	+36.8
81	Kiribati	122	+32.8
82	Samoa	115	+1.8
83	Saint Kitts and Nevis	111	+31.1
84	Dominica	110	+63.6
85	Palau	109	-7.9
86	Saint Vincent and the Grenadines	105	+47.8
87	Mexico	104	+42.4
88	Libya	98	+27.5
89	São Tomé and Príncipe	98	+5.2
90	Cyprus	98	+10.7
91	Saint Lucia	94	+51
92	Ecuador	93	+1.9
93	Morocco	92	+10.7
94	Honduras	88	+31.1
95	Mauritius	80	+21.9
96	Algeria	79	-17.9
97	Jordan	79	+37.7
98	Iraq	77	+13.6
99	Argentina	76	+36.8
100	Tonga	76	+1.6
101	Kuwait	75	+41.8
102	Oman	74	+41.8
103	Seychelles	74	+22.8
104	North Korea	72	+5.5
105	Kyrgyzstan	70	+15.1
106	Fiji	68	+34.4
107	Tunisia	65	+25
108	Mongolia	63	+16.5
109	Maldives	60	+12.5
110	Georgia	60	+30.2
111	Panama	59	-15
112	El Salvador	58	+10.5
113	Armenia	57	+14
114	Cape Verde	56	-0.3
115	Azerbaijan	55	+33.7
116	Trinidad and Tobago	54	+19.2
117	Lebanon	54	+26.6
118	Vietnam	52	+0.9
119	Malaysia	52	+23.5
120	Grenada	52	+1.5
121	Iran	51	+16.5
122	Bhutan	50	-1.4
123	Puerto Rico	50	+39.3
124	Uruguay	49	+29.9
125	Costa Rica	44	+9.9
126	Brunei	44	+5.3
127	Egypt	42	+10.5
128	Latvia	42	+20.6
129	Barbados	38	-0.2
130	Thailand	38	+2
131	San Marino	35	-11.2
132	Sri Lanka	34	+11.1
133	Antigua and Barbuda	32	-2.9
134	United States	31	+8.8
135	Syria	30	+6.9
136	Hungary	30	+11.2
137	Palestine	29	+9
138	Uzbekistan	28	-0.8
139	Serbia	26	+10.7
140	Ukraine	26	+7.9
141	Tajikistan	25	-0.8
142	Moldova	24	-4.3
143	Kazakhstan	23	+4.8
144	China	21	+1.1
145	Russia	21	+1.8
146	Singapore	20	+7.5
147	Türkiye	20	+0.7
148	Romania	20	+3.9
149	Portugal	19	+5.1
150	Andorra	18	-30.6
151	Montenegro	15	-0.1
152	Chile	14	+2.1
153	Albania	14	+6.8
154	Canada	14	-3.1
155	United Kingdom	13	-0.6
156	Bosnia and Herzegovina	13	+5.3
157	Saudi Arabia	12	+1.2
158	Croatia	12	+7.1
159	Slovakia	12	+8.1
160	North Macedonia	12	+4.7
161	Malta	10	-0.1
162	Bahrain	10	+2.6
163	Lithuania	9	+1.2
164	Bulgaria	9	+0.5
165	France	9	-0.1
166	Greece	9	+1.5
167	Finland	8	-0.1
168	Estonia	8	+2.6
169	Slovenia	8	-3.7
170	Denmark	8	+3.6
171	New Zealand	8	-0
172	Italy	7	-0.3
173	Belgium	7	+3.2
174	Qatar	7	+0.8
175	United Arab Emirates	6	-0.1
176	Luxembourg	6	0
177	Austria	6	+0.4
178	Ireland	6	+0.2
179	Turkmenistan	6	+0.3
180	Monaco	5	-18.2
181	Iceland	5	-6.4
182	South Korea	5	-6.4
183	Sweden	5	-0.1
184	Netherlands	5	+1.1
185	Switzerland	4	-0.8
186	Germany	4	+0.2
187	Czechia	4	+1.2
188	Australia	4	-0.8
189	Japan	4	-0.2
190	Spain	4	-0.7
191	Israel	3	+0.1
192	Poland	2	-0.5
193	Belarus	2	+0.1
194	Norway	2	-0.5
195	Cook Islands	0	-0

Other periods

About this ranking

Deaths of women from causes related to pregnancy or its management, during pregnancy or within 42 days of its end, per 100,000 live births in the year (SDG indicator 3.1.1). Accidental and incidental causes are excluded. Estimates of the UN Maternal Mortality Estimation Inter-Agency Group (WHO, UNICEF, UNFPA, World Bank Group and UN DESA), published by WHO.

Modelled estimates that adjust registered deaths for misclassification and under-reporting, so they differ from national vital statistics, often by a wide margin. Values are served with every decimal WHO publishes. WHO revises these series, past years included, when new national reports or estimates come in, so values can change between retrievals.

Every value in the ranking comes from the same publisher and the same period, so the countries are compared on one definition. Equal values share a rank.

How to cite

World Health Organization, data.who.int. Maternal mortality ratio (per 100 000 live births) (MDG_0000000026) [Indicator]. https://data.who.int/indicators/i/C071DCB/AC597B1 (Accessed on 2026-10-12). Licensed under CC BY 4.0. No changes made to source values. WHO does not endorse Invokely or this use of the data.

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Questions

Which country has the highest maternal mortality ratio?

The Central African Republic, with 1,127 per 100,000 live births in 2021, according to World Health Organization.

Which country has the lowest maternal mortality ratio?

Cook Islands, with 0 per 100,000 live births in 2021.

Where does this ranking come from?

Every value comes from one source and one period, so the places are comparable: World Health Organization, Maternal mortality ratio (per 100 000 live births) (MDG_0000000026). Retrieved 2026-10-12.

Maternal mortality ratio: other rankings

EU countries