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More than 4.5 million women and babies die annually during or immediately after childbirth, according to a recent United Nations report. Most of these deaths are preventable with access to quality care. The Bay Area Global Health Alliance, together with Merck for Mothers, convened a small group of members in April 2023 to discuss the challenges and opportunities of ensuring safe delivery in both urban and rural impoverished communities. The cross-sectoral Alliance members that were engaged in discussing possible options to reduce those abysmal statistics included CCBRT in Tanzania and Chidamoyo Hospital in Zimbabwe, and representatives from Antara International, Maya Health Alliance, Simprints, UCSF Bixby Center for Global Reproductive Health, and the World Telehealth Initiative.