Nigeria’s health services halved the maternal mortality rate between 1990 and 2010, but in parts of the predominantly Muslim north, which is less socio-economically advanced, women are 10 times more likely to die in childbirth than in the oil-rich, predominantly Christian south. Maternal health personnel are calling for more appropriate interventions to bridge the gap. Reasons for the divide mirror those in many West African states: too few referral facilities and health practitioners - especially midwives - and inadequate antenatal equipment; too few clinics and poor roads that make accessing clinics difficult and expensive; poverty and cultural barriers to visiting hospitals.