Socioeconomic inequality is often cited as the main underlying cause of different health outcomes between men and women. Gender, as a structural determinant of health, operates through several intermediate determinants that influence women's maternal and reproductive health and their access to care. This also influences attitudes toward contraceptive use and women's ability to make family planning decisions. Early marriage and early pregnancy lead to high fertility and put women at risk of anemia and complications during pregnancy, with high infant mortality even among young mothers. A weak healthcare system, a weak information system, discontinuities of care, unsupported healthcare workers, limited referrals and accountability, etc. have implications for the ability to prevent maternal mortality among women seeking care during