The first child or one-eyed
In Hawaiian, the name is typically derived from 'maka' meaning eye or face, and 'kahi' meaning one or first. It is traditionally used to denote the first-born child or, in some historical contexts, a person with a single eye. It remains a rare and culturally specific choice outside of the islands.
Less common today
Makahi isn't in the latest US Top 1000. It last peaked at #6,754 in 2009.
US births per 5-year period, 1990βpresent (SSA data).