The most recent data show significant strides in reducing maternal mortality at the national level over the past 20 years. Improvements in access to maternal health care, especially in skilled birth assistance, have contributed to the reduction of maternal mortality.
While these improvements are impressive, the national level data often mask inequalities in skilled birth assistance within countries. There may be gaps within a country, for example, where wealthy women might have better access than women from poor households. According to the World Health Organization, "The high number of maternal deaths in some areas of the world reflects inequities in access to health services, and highlights the gap between rich and poor."