From a crowded maternity ward in Delhi decades ago to a vibrant clinic in Sierra Leone today, Dr. Koki Agarwal has seen firsthand how respectful maternity care transforms outcomes. This story shows how countries are leading their own change.

Dedicated health volunteers carry out the goals of TIPTOP project

The frantic call from a nurse at the Koukoudé health post came in at 8 p.m. A woman in labor with twins had given birth to the first baby, but now, hours later, the second baby had not yet arrived.

Three births. Three serious complications. Three opportunities to ensure a pregnant woman survived childbirth.