Those first 2018 regional elections led to the ruling party Union for the Republic (which rebranded as El Insaf in July 2022) to barely take control of the Nouakchott's Regional Council.

Ex-mayor of Tevragh-Zeina Fatimetou Mint Abdel Malick, running for the UPR, won a narrow majority on the second round against Mohamed Jamil Ould Mansour, the opposition-backed candidate and previous leader of the Islamist Tewassoul party.

On 26 September 2022 an agreement between the Ministry of the Interior and Decentralisation and all political parties registered in Mauritania was reached in order to renew the Independent National Electoral Commission and hold the elections in the first semester of 2023, with parties justifying it due to climatic and logistical conditions.

[3] On 26 September 2022 all Mauritanian political parties reached an agreement sponsored by the Ministry of Interior and Decentralisation to reform the election system ahead of the upcoming elections after weeks of meetings between all parties.

The head of the list that gets the most votes will automatically become president of the regional council.