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A laughing mother in bright kitenge holds her newborn outside the Atiak birth center

Mother Health International · Uganda & Kenya

We believemidwivesare the answer.

We turn the world’s commitment to midwifery care into working health systems. Clinic by clinic, midwife by midwife, across East Africa.

Our story

Safe birth shouldn’t depend on where you’re born.

Every two minutes a woman dies from a preventable cause in pregnancy or birth. We already know what saves her: a skilled midwife, practicing the midwifery model of care, inside a health system that supports her.

Mother Health International builds exactly that. Our birth center in Atiak, Uganda has the best outcomes in East Africa. Now we are taking the model to government clinics across Uganda and Kenya.

Ot Nywal Me Kuc birth center behind a field of orange wildflowers
Traditional midwives from the Atiak collective seated together in bright kitenge, laughing

Scaling the midwifery model of care could prevent up to 80% of maternal and newborn deaths. The World Health Organization has called on every country to adopt it. Our birth center has been proving it works for nearly twenty years.

Explore the proof

The problem

Think of a bucket with 3,000 holes.

Each hole is a reason a woman dies in childbirth. Most funding plugs one hole at a time: a drug for hemorrhage, a device, a single training. Every other hole keeps leaking.

The midwifery model of care is different. It is a network of skilled, trusted midwives wrapped around every mother from early pregnancy through the first year of her baby’s life. It plugs most of the holes at once.

A woman dies every
2 min

from preventable causes in pregnancy and birth.

Deaths that are preventable
80%

when midwives are trained in the model and supported by a system.

Our model

One goal. Three pathways.

Everything we do moves the midwifery model of care from a birth center in Atiak into the health systems that serve millions of families.

  • A midwife in blue scrubs caring for a mother at the Atiak birth center
    01

    Transform

    Turn clinics into centers of excellence

    We partner with government clinics to implement the midwifery model of care through clinical training, mentorship, systems redesign, and community integration.

    Explore
  • A traditional midwife palpating a pregnant woman’s belly
    02

    Re-orient

    Retrain the workforce in the model

    Most East African midwives were trained as nurses and never learned the model. We retrain practicing midwives and doctors through funded mentorship at our birth center.

    Explore
  • A Yala Yala instructor teaching the Quality Maternal and Newborn Care framework
    03

    Educate

    Train the next generation of midwives

    Yala Yala Midwifery Training Institute graduates community midwives to international standards, with advanced clinical skills and point-of-care ultrasound.

    Explore
The round, brightly painted buildings of the Ot Nywal Me Kuc birth center under a wide sky

Proven in Atiak

What happens when care is designed differently?

Ot Nywal Me Kuc, the House of Birth and Peace, was built by midwives during northern Uganda’s post-war recovery, 75 km from the nearest hospital. Today it is a birth center, a training institute, and the proof that the model works.

0+
births supported without a maternal death
0%
reduction in perinatal mortality
0
neonatal deaths per 1,000 births at Atiak, against 54 across northern Uganda
0%
of women in the region now reached with full-spectrum care

$55 provides a full year of life-saving, community-integrated maternal care for one person.

Give $55

Flagship program

Transforming Birth. Clinic by clinic.

The Transforming Birth Initiative takes what works in Atiak into government clinics across East Africa, turning ordinary health centers into centers of excellence.

  1. 01

    Partner with a government clinic

    We start where mothers already go: public health centers in Uganda and Kenya, with ministry and district buy-in.

  2. 02

    Mentor the whole team for two years

    Midwives train at Atiak, then are mentored in their own clinic. Ultrasound, emergency skills, continuity of care.

  3. 03

    Certify a Center of Excellence

    Clinics that uphold the model become Quality Maternal & Newborn Care Centers, and training sites for the next clinic.

Fund a clinic transformation

$100,000 establishes a Center of Excellence for an entire region.

Midwives practicing point-of-care ultrasound during a training session
Women from the Atiak community sitting together in bright dresses

Partner with us

Three ways in.

Funders, educators, governments, and neighbors all have a role in making birth safe. Pick your door.

  • Foundations and institutional funders

    Fund the initiative

    Back a proven, scalable model. $100,000 establishes a Center of Excellence that transforms maternal care for an entire region.

    Request the case for investment
  • Universities, ministries, and clinics

    Partner with us

    Send students for clinical immersions, enroll your clinic in a two-year mentorship, or bring ultrasound training to your midwives.

    Start a partnership
  • Everyone who believes birth should be safe

    Give

    $55 provides a full year of community-integrated maternal care for one person. Every gift goes directly to midwives and mothers.

    Donate today

You have the power to change a birth.

Help make real change for mothers and midwives in East Africa by donating today.

Where your
money’s going

In every $1 we spend:

  • 87¢ on midwives, mothers, and clinics
  • 8¢ on support costs
  • 5¢ on fundraising

Did you know?

  • $50could cover all prenatal care for one pregnancy
  • $100could cover prenatal care, labor, delivery, and postpartum care for one mother
  • $5,000could send two midwives through Yala Yala Midwifery Training Institute
“The reason midwifery outcomes are so good is the model of care. Most midwives in East Africa were trained as nurses and never learned it. So we retrain the workforce, then help whole clinics transform around it. That is how you plug every hole at once.”

Rachel Zaslow

Founder and midwife, Mother Health International

A midwife smiling with a mother and her newborn at the birth center

Partners and funders

  • Yale University
  • Makerere University
  • Republic of Uganda Ministry of Health
  • Lira University
  • Merck for Mothers
  • Grand Challenges Canada
  • Segal Family Foundation
  • Gould Family Foundation
  • East Bay Community Foundation
  • CRI Foundation
  • Preston-Werner Ventures