Intestinal worm infections can harm pregnant women in Sierra Leone, causing problems like anemia and premature birth. Giving deworming medication during pregnancy can help prevent these issues. A study looked at data from 2008 to 2019 and found that more women in Sierra Leone are using deworming medication during pregnancy. The use of this medication increased from 43.8% in 2008 to 83.5% in 2019. While some inequalities in access to deworming medication improved, others got slightly worse. Overall, the findings show progress in maternal healthcare access and education in Sierra Leone.