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{Photo credit: Rejoice Phiri/MSH}Midwife Chirford Semu stands in the labor and delivery room at Bowe Health Center, in Dowa district, Malawi.Photo credit: Rejoice Phiri/MSH

Chirford Semu knows that time is of the essence when complications arise during labor and delivery. He is a midwife at Bowe Health Center in Dowa district, one of the most remote areas in Malawi. This single health center serves an estimated 42,445 people. Of these, 9,762 are women of childbearing age, and there are approximately 2,100 expected births per year in the district. Women who develop birth complications at this facility have to travel 96 kilometers on unpaved roads to reach Dowa District Hospital, the district’s referral facility.

 {Photo credit: MSH Rwanda}Left to right: Lisa Godwin, USAID Rwanda Health Office Director, Dr. Diane Gashumba, Rwanda's Minister of Health, Alain Joyal, RHSS Project Director, Management Sciences for Health.Photo credit: MSH Rwanda

Over the past five years, the United States Agency for International Development (USAID) has invested in measures to strengthen and sustain Rwanda’s health sector through its Rwanda Health Systems Strengthening (RHSS) Project (2014-2019). In a ceremony at the Kigali Serena Hotel, USAID, the Ministry of Health (MoH), as well as the implementing partner, Management Sciences for Health (MSH), marked the culmination and remarkable achievements of the five-year effort to strengthen the country’s health sector.

{Photo credit: Todd Shapera}Photo credit: Todd Shapera

Cesarean section (C-section) delivery, which is usually initiated when complications arise during pregnancy or delivery, is one of the most frequent surgeries performed at health facilities worldwide.

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