The intervention will be accessable for everyone in the target communities without eligbilty criteria.  The impact assessment survey will be a full census. All remote target communities in Grand Bassa will be selected and all households within selected communities will be surveyed with the child mortality module and for other core indicators. Within each household the survey population will consist of all women of reproductive age who are at least 15 years old (15-49). We will select all 1,733 remote communities in the study area of Grand Bassa covering 23,702 households.  Inclusion Criteria:  Communities >5 km from a health facility Within a household all women 18-49 were interviewed (if possible).  Exclusion Criteria:  -