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.