Anyess Aceng (prounced An-yes A-cheng) is a 26-year-old midwife who has recently returned to work at the Kristina Health Centre after giving birth to her first baby three months ago. She is from a town called Dokolo, but lives on site in the staff accommodation with her baby Shalon and her babysitter. Anyess’ husband comes from Alebtong and is a high school teacher. Anyess began working at the center in July 2016, when the maternity service commenced. 8:00am: Anyess begins work at the Kristina Health Centre Anyess’ day begins with the completing paperwork required for the USAID Voucher Program that all the maternity patients are on. Anyess tallies up the costs associated with the care for each patient. 9:30 - 10am: Patients start arriving at the clinic. As the pregnant women begin to arrive at the health center, Anyess puts the paperwork aside and commences the antenatal clinic. On average it takes about 40 minutes to see each patient. A lot of women have