While ANC in main care continues to be of lower than optimum high quality, most deaths are preventable if the hospital care is of optimum quality. There is a need to develop capacity to evaluate the local situations throughout the hospitals and districts in terms of organisational and personnel factors that undermine high quality of care. There can be a need to plan and provide timely and effective take care of concomitant illnesses. The government health care referral policy states that, if a referral/transfer is required, a main care provider or centre should refer the affected person to the subsequent …