Dominican Republic Achieves 10% Reduction in Maternal Deaths, Challenges Persist

The Dominican Republic has reported a notable achievement in maternal health, with a 10% reduction in maternal deaths as of early October 2025. The Ministry of Public Health recorded 126 maternal deaths, a decrease from 140 deaths during the same timeframe in 2024. This statistic indicates 14 fewer maternal fatalities, reflecting progress in addressing maternal health issues in the country.
Overview of Maternal Deaths
Despite the positive trend, challenges remain. In epidemiological week 40, which ran from September 28 to October 4, two maternal deaths were recorded. This statistic underscores the ongoing disparities in access to maternal health services, particularly for rural and vulnerable populations.
Statistical Highlights
- Total maternal deaths in 2025: 126
- Total maternal deaths in 2024: 140
- Deaths during epidemiological week 40: 2
- Maternal deaths among Dominican women: 70 in 2025 vs. 75 in 2024
- Maternal deaths among Haitian women: 56 in 2025 vs. 65 in 2024
Factors Contributing to Improvement
Several initiatives have contributed to this reduction in maternal deaths. Key actions include:
- Enhanced prenatal care coverage
- Strengthened obstetric emergency services
- Continuous training for healthcare personnel
- Increased availability of essential medical supplies
These strategies aim to improve the quality and timeliness of care during critical periods such as pregnancy, childbirth, and postpartum. Ensuring that women receive proper care during these times is essential for maternal health.
Geographical Insights
Data by province shows significant differences in maternal death rates. Areas with the lowest rates include:
- Santo Domingo
- San Cristobal
- San Pedro de Macorís
- Valverde
- Azua
- Duarte/Monte Cristi
Conversely, provinces such as La Vega, La Altagracia, and Samaná have experienced increases in maternal deaths. This highlights the need for targeted interventions in areas with rising maternal mortality rates to mitigate risks associated with delays in care, supplies, and management.
Understanding Maternal Mortality
Maternal mortality, defined by the World Health Organization (WHO), is the death of a woman during pregnancy, childbirth, or within 42 days post-pregnancy due to complications. Factors leading to maternal deaths can be classified as direct or indirect causes. Direct causes include complications like hemorrhage, while indirect causes relate to pre-existing conditions exacerbated by pregnancy.
Global Context
On a global scale, maternal mortality has significantly decreased, with a 40% reduction from 2000 to 2023. In the Americas, there has been a 19% decrease between 2020 and 2023. While reductions in the Dominican Republic are promising, continued efforts are needed to enhance healthcare quality and accessibility, especially in underserved communities.
Overall, maternal mortality serves as a crucial health indicator, reflecting not just WHO success but also healthcare equity and women’s reproductive rights.