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Set in Malawi, the book explores the alarming maternal mortality rate despite safe-motherhood initiatives. Through the narratives of mothers, healthcare professionals, and community leaders, it highlights the complexities of maternal health within a context of therapeutic pluralism and resource scarcity. The author, Claire Wendland, examines how diverse explanations for maternal deaths reveal underlying social inequalities and historical influences. She challenges conventional global health practices, emphasizing the need for a nuanced understanding of medical authority and the implications of improvisational care.