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midwives@ethiopia works in partnership with Ethiopian midwives and Healthcare workers strengthening rural health systems. One of the projects aims to address the maternal mortality rate through improving knowledge at all levels and for all involved. The project encourages collaborative community participation to discuss barriers to women accessing the local Health Facility for birth. Through FGDs, observation and outreach a number of standards have been jointly developed to address a number of issues identified at community level by women and men, by community health workers, and by the staff at the health centre. The standards have given a focus to main gaps and areas for improvement in service and have enabled staff to feel more accountable and committed to their roles and professions. The community have consequently found the health centre a more pleasant and welcoming place to give birth, most significantly; due to the Maternity Waiting Home, the respectful care standard and the opportunity to birth in any position as she would at home.