24 August 2016 - Mavis Tabi-Boateng, a midwife at a health centre in Watreso, Ghana, often sees patients who travel long distances for antenatal care visits. During these visits she checks to see if the mother and baby are healthy.

Mavis remembers caring for Ama Mensah*, a pregnant 24-year-old farmer, who had travelled 4 km for a final antenatal care visit before the birth of her child. She noticed the mother’s mental state was poor so she referred her to a district hospital for care, since mental health services were not available at her clinic.