Technological solutions, like improved equipment and logistical tools, have been trumpeted as keys to finally ending preventable maternal and child deaths. “But it’s not just technology innovation that we need; it is systems innovation,” says Dr. Harshad Sanghvi in this week’s podcast.

With less than 500 days until they expire, it’s almost certain that the Millennium Development Goals on child mortality and maternal health will be missed by many countries. Already, work on drafting the MDG successors has begun; but unless policymakers put nutrition at the center of maternal and child health systems, reducing global maternal and child mortality ratios by an appreciable amount will be difficult, says Dr. Ranu Dhillon in this week’s podcast.

In the quest to improve maternal health care for the world’s poorest women, getting more mothers into clinics for regular check-ups during pregnancy is often trumpeted as a critical starting point. But delivering antenatal care to women in low-resource settings is as much about quality as it is about quantity, says Faith Muigai in this week’s podcast.

In sub-Saharan Africa, women collectively spend an estimated 40 billion hours a year gathering water, often walking miles to the nearest source, which may not be clean, and braving exhaustion, harassment, and worse along the way. Water availability and quality at health clinics is often not much better, creating a crisis for women, especially pregnant women, throughout the continent. A mutual solution lies in better coordination between efforts to improve water, sanitation, and hygiene (WASH) and maternal health, says the African Medical and Research Foundation’s Lisa Meadowcroft in this week’s podcast.