An analysis of 132 obstetric and gynecologic operations associated with complicated pregnancy and delivery during the period from 1988 to 1989 established that there were 38 cesarean sections, of which 76 percent were emergency operations. There was no maternal mortality. The complication rate was 13 percent and included two neonatal deaths. The cesarean birth rate during the study period was 7.6 percent. "Te Kakeega II - the Tuvaluan national strategies for 2005-2015" (TKII) refers to the health priority of the “maintenance of PMH and outer island clinics, the latter especially for maternal and child health care." "Te Kakeega III - National Strategy for Sustainable Development-2016-2020" (TK III) sets out the development agenda of the Government of Tuvalu. TK III includes new strategic goals in relation to health policy, including medical infrastructure, medical human resources and providing resources to address issues at the intersection of climate change and health.