The Gambia government, midwives, and other agencies, as well as the communities, are struggling to achieve the Millennium goal of reducing maternal deaths by a half. It is a complex problem. One strategy considered to be most effective is the provision in the community of sufficient well-trained and competent personnel with midwifery skills.
Horizons is developing partnerships to strengthen midwifery services in outreach centres. This is essential to promoting safe motherhood. In particular Horizons organises training to raise standards in maternity cleanliness. Uncontrolled infection reaps a heavy burden in most maternity clinics in The Gambia.