Imagining a future for you children should not be an amazing, surprising idea. But three years ago, on a similar visit to Bihar, I didn’t see hope. I saw extreme poverty, people living a daily existence, striving to survive that day. Now, there is hope. Mothers have embraced the expectation that things will get better.

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Wampembe, Tanzania—In this remote corner of western Tanzania, where the nearest hospital is four hours away on a rutted, rock-strewn dirt road, pregnant women are relying on midwives Adelina Kizzila and Flora Mwananjela to help them give birth safely and deliver healthy newborns. I visited the Wampembe Health Center, where these midwives work, and quickly discovered the precariousness of giving birth here.

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Where is the best place on earth--and the worst--to be a mother? Save the Children’s report, State of the World’s Mothers, released today gives us the answers.

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This tradition of strong, bipartisan support for improving global health continued with President Obama's release of the fiscal year 2014 budget request. However, to get the most bang for our buck, the U.S. government must have a strategy on how its programs will address the frontline health workforce crisis.

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Midwives save lives. Yet, two-thirds of women in the poorest, least developed countries give birth without a skilled birth attendant. Only when we have enough skilled midwives will we stop the needless deaths in childbirth of girls and women across Africa and Asia. The midwife has an important role to play, not just in ensuring a safe birth but also after the birth to support the mother in looking after her new baby, and advising on birth spacing and family planning.

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