In addition, ensuring that social insurance is available for all employed citizens (with an additional federal or federally subsidized program for the unemployed and indigent) ensures that there is accountability, rather than throwing more money at district governments than they know what to do with. In addition, the development of a "bonus" system for providing antenatal and postnatal care should provide an incentive for doctors to continue care for both mother and child.  Perhaps offering bonuses for meeting certain thresholds, such as number of births attended or mean number of visits with children under five years.