Evidence map›Paper›PMID 40629443›Full record

ArticleReproductive health2025

Sierra Leone's safe motherhood bill: balancing public health, religious values, and cultural traditions.

Augustus Osborne, Umaru Sesay, Regina Mamidy Yillah, Camilla Bangura, Bright Opoku Ahinkorah

Abstract readLetter
In one paragraph

Article in Reproductive health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Augustus OsborneInstitute for Development, Western area, Freetown, Sierra Leone. augustusosborne2@gmail.com.
Umaru SesaySierra Leone Field Epidemiology Training Program, National Public Health Agency, Western Area, Freetown, Sierra Leone.
Regina Mamidy YillahInstitute for Development, Western area, Freetown, Sierra Leone.
Camilla BanguraDepartment of Biological Sciences, School of Basic Sciences, Njala University, PMB, Freetown, Sierra Leone.
Bright Opoku AhinkorahREMS Consultancy Services, Sekondi-Takoradi, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sierra Leone’s safe motherhood and reproductive health care act 2024 represents a pivotal moment in the nation’s efforts to address its maternal health crisis while intersecting religious and cultural heritage. This commentary examines the multifaceted challenges and opportunities presented by this landmark legislation, which aims to transform maternal healthcare delivery in a country with one of the world’s highest maternal mortality rates. It analyzes the bill’s key provisions and their intersection with strong religious beliefs and cultural traditions. We highlight the notable opposition from religious organizations, particularly the Inter-Religious Council of Sierra Leone, which has emerged as a powerful voice against certain aspects of the bill, especially those related to reproductive rights. The paper also reveals the need for improved maternal healthcare, the strong influence of religious institutions, and the strong cultural practices surrounding motherhood and childbirth. It identifies key areas of tension, including the integration of traditional birth attendants into the modern healthcare system, the controversial provisions regarding reproductive rights, and the challenge of implementing universal healthcare access while respecting local customs. In addition, it suggests that successfully implementing the safe motherhood bill requires a carefully balanced approach that acknowledges and incorporates religious and cultural perspectives while advancing essential public health objectives. We propose a framework for stakeholder engagement and policy implementation that emphasizes inclusive dialogue, cultural sensitivity, and gradual integration of modern healthcare practices with traditional systems. This paper contributes to the broader understanding of how developing nations can balance healthcare reform while respecting religious values and cultural traditions. It offers valuable insights for policymakers and healthcare professionals implementing similar reforms in culturally diverse settings where traditional practices and modern medicine must find common ground.

Indexed as

Maternal HealthMaternal Health ServicesPublic HealthReligionFemaleHealth Services AccessibilityHumansMaternal MortalityPregnancyReproductive RightsSierra LeoneCultural TraditionsHealthcare PolicyMaternal HealthReligious ValuesReproductive RightsSierra Leone

Identifiers

PMID40629443
PMCPMC12239314

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.