<p>Overall, 3,491 maternal deaths were recorded out of 1,312,951 live births during the study period. The average MMR during the period under review was 266 deaths per 100,000 live births ranging from 319 per 100, 000 live births in 2016 to 255 per 100,000 live births in 2021. Of the total 3,491 maternal deaths, 84% (2948) were investigated and reviewed, and 90% (2465) were notified within 24 hours after death. The median age of decedent mothers was 27 years (range: 12 to 50 years), and the age group 25-34 years accounted for almost half, 45% (1552/3491), of the deaths. The deaths were more common in multigravida women with 41% (1353/3491) of the total deaths. Of the total maternal deaths, 79% (2,767/3491) occurred at health facilities, of which 75% (2,065/2767) were from referral hospitals. Hemorrhage was the leading cause of maternal deaths at 43% (1,489/3491), followed by hypertensive disorder at 17% (577), Indirect causes at 13% (437), and the least was from abortion/ectopic 3% (97).</p>