When a young Zambian mother, Zimthambo Musianga, felt the onset of labor, she went into the hills to find an ox cart to take her to the hospital. But with the nearest clinic miles away from her remote village in the rural district of Lundazi, the ox cart wasn’t going to get her there in time. After being bumped along a dirt road over rough terrain, she had no choice but to give birth right there in the cart.