With only 10 miles of paved road in all of Southern Sudan, a region the size of Texas, Steve Redding, Director of Health Service Delivery at Management Sciences for Health (MSH), explains that it is unusual to bump into any sign of government: “There are no roads, mostly cattle trails. Many of the people are seminomadic. . . . To have health facilities positioned along cattle routes reminds people that there is a government concerned with their welfare.” Three years ago, life was different in Southern Sudan.