PART 4.2

Women and their babies were dying from complications of home labor and delivery. Nana and her colleagues were pretty sure that they understood the problem. They thought this was happening because when the women went into labor they had no way to get themselves to their local healthcare facility. They thought that transportation to healthcare facilities that was local, affordable, and accessible was needed. Yet even after MAZA implemented motorized tricycles operated by local drivers in the community to transport women to healthcare facilities, the women were not going to the healthcare facilities.

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PART 5.3

Infants were dying in rural health centers because they had complications that couldn't be dealt with in those hospitals. Doctors thought that a way to address this would be to transfer them to a larger hospital with more neonatal capacity. But, when the transfer solution was tried, it turned out that more infants were dying. Lives were not being saved. Babies continued to die because the transportation to the secondary or tertiary facilities took so long. The infants could not survive the trip.

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