The facts in much of Uganda and Sub-Saharan Africa present a harsh reality: only 28 per cent of all health centres have the required supplies and equipment to offer basic emergency obstetric care, while 32 per cent of hospitals in the districts have the supplies, equipment and staff to offer patients caesarean sections. Challenges for midwives with transportation, improper or non-functional medical equipment and lack of doctors and supporting medical staff are ongoing, says this article, which profiles a dedicated Ugandan midwife.