In evaluating Guyana’s progress toward the Millennium Development Goals (MDGs), the Government of Guyana has identified MDG 5 – improve maternal health – as the goal that needs prioritisation if its associated targets are to be achieved by 2015 and thus a higher standard of maternal health care is to be established and sustained in the long run. Although there has been progress toward this goal, significant challenges remain. To identify the current major bottlenecks in this area, a situational analysis was carried out using the MDG Acceleration Framework (MAF) and concrete solutions were then selected in line with the prioritised bottlenecks.