Photo by Robert Yates / Department for International Development (CC BY 2.0)
In November 2025, Human Rights Watch (HRW) released “No Money, No Care,” a detailed report documenting obstetric violence in Sierra Leone’s public health system. Sierra Leone, which has one of the highest maternal mortality rates in the world, has long been plagued by delays or outright denial of care for patients unable to pay hospital staff, despite the establishment of a free healthcare initiative in 2010.
Obstetric violence refers to abuse experienced by pregnant women...









