Yes, but I think it's important because the three parts of the health system are important: the human resources, the supply chain management system, and the provision of a social protection floor. Those are the three things you require to maintain a health system, and of course, the midwifery part talks to human resources.
We've seen that in countries where you have adequate manpower, you reduce maternal mortality considerably. I'll give you an example. In Ethiopia we have contributed to produce about 38,000 to 40,000 community health workers. These health workers live within the communities in which they work, and in those communities they look after antenatal care. They look after women who are to deliver. They look after HIV tests, immunization, and contraceptive applications. In 10 years of work in Ethiopia we have seen a reduction in maternal mortality of more than 60%, and child mortality by 60%, and we have increased contraceptive acceptance by 400%. So they work, and I think it's the way to go.
In Sudan, which is one of the most difficult countries to work in, there are no midwives on the ground. What we are getting from the Government of Canada is to train these midwives and we are putting together a team to enable that to happen. We're also working with the Canadian Association of Midwives to do this effectively. We believe that if we put the midwives in place and try to get the other pieces in place, the most difficult part might be providing the social protection floor. We will try to do the supply chain management system so that the midwives can work effectively, and if we do that, we save lives.