The toughest kind of labour

Jo Chandler; 8/5/10
International health literature is loaded with graphs and studies describing, in antiseptic terms, the three obstacles that prevent a pregnant woman from getting the care she needs to survive childbirth.
-First is social: will her family recognise when she is in trouble, will culture allow her to seek help, can she afford it?
-Next is access: are there the roads, communications, vehicles to get her to care?
Finally there is the quality of care at journey’s end: will she find skilled staff, clean facilities, vital drugs and equipment?
To see these factors at work, step out of the literature into messy reality, into the Tarin Kowt Hospital in Afghanistan.