SILVER SPRING—In early June, Melinda French Gates pledged $215 million to improve women’s health globally, with a focus on underfunded areas such as maternal care in Africa. The announcement comes at a critical moment. Every day, more than 700 women die during and following pregnancy and childbirth, despite the fact that many of the leading causes of maternal mortality are preventable with affordable, evidence-based interventions.

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These maternal deaths are not evenly distributed. Roughly 87% of them occur in Southern Asia and Sub-Saharan Africa, with the latter alone accounting for nearly 70%. By contrast, high-income countries experience far lower rates, although stark inequities remain. In the United States, for example, Black women are more than three times as likely as white women to die from maternity-related causes.

Declining foreign aid has exacerbated the........

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