Despite a substantial reduction in global maternal mortality, rates in low-income countriesremain unacceptably high. Multiple contributing factors exist, grouped into three delays:health-seeking behaviour; accessibility of care; quality of care. In the Hoima District, ratesof health facility delivery and skilled birth attendance remain low and maternal mortalityexceeds the national average. Establishing the Midwives At Maternity Azur Clinic(February 2017) has addressed these issues at a local level. Health education and antenatalcare are provided at the clinic, encouraging women to seek timely, appropriate intrapartumcare. Access from surrounding villages is facilitated by a waiting home and weeklytransport for antenatal care, alongside transport to a health facility with a staffed operatingtheatre, when required. It is run by a resident midwife, with regular training updates, andis stocked with the necessary resources for quality healthcare. Since its advent, villageleaders report all-cause burials have reduced from one a day to one a week.Key words: Health facilities; Maternal mortality; Midwifery; Perinatal mortality; PovertySubmitted: 10 April 2019; accepted following double-blind peer review: 18 May 2019
