I think the issue again goes back to engaging the key stakeholders in the countries we hope to be offering some aid and assistance and expertise to. The scenario you describe—for example, that culturally the women wouldn't leave the village, perhaps, without the permission, for lack of a better way to say it, of their spouse—really speaks to the issue of one size not fitting all. You have to engage the key stakeholders, the community leaders in the systems you're trying to have an impact on. I think we should use that as a guiding principle, rather than coming in with a very western view of health and health care delivery and health values. It's something you need to be aware of. You need to be thinking about engaging those people who are going to receive your care in planning how that care might be delivered.
I don't have expertise in maternal health—I'm a pediatric nurse—so I can't offer you an opinion or expertise in that area. In my experiences, when I work with injury prevention, I engage children. I ask them how they see themselves as being safe in a vehicle, and they tell me. That becomes a basis for how I teach families—children, mothers, parents—about how to stay safe in a vehicle. That kind of principle has been very successful. I would suggest it could perhaps be considered in the much broader system.