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We are currently working in two districts, Humla in the western part of Nepal and Solukhumbu in the eastern region, which is also home to many world famous peaks, including Mt. Everest. Both of these are located in rugged and remote areas, and as a result, the districts have limited development.  What visitors can perceive as natural beauty creates significant barriers and obstacles for the people that live there., Accessing many services, including basic health care is not east.  For some, it may mean hiking for 2-3 days to reach a health facility.  Even when people are able to reach a facility, that place may experience shortages in staffing, equipment, or knowledge and skills of the providers.  As it relates to maternal-newborn care, this has led to a situation where pregnant women often choose to deliver at home without the presence of a skilled provider who has the appropriate supplies and skills for childbirth.  In spite of the remote nature of the district, we have found that a majority of the people in Solukhumbu want to receive medical care at health facilities. Below are some maps showing the locations of birthing centers we have established.

Location of health facilities, including birthing centers, in Solukhumbu District

Location of health facilities, including birthing centers, in Solukhumbu District

 
Location of health facilities, including birthing centers, in Humla District

Location of health facilities, including birthing centers, in Humla District