In the remote highlands of Guatemala, Flori, a young pregnant Maya woman goes into labor. In rural Guatemala, health centers and trained personnel are few, and far too many mothers deliver in their dirt-floored homes. Flori is fortunate, as she lives in a village that has partnered with Curamericas Global, which pairs community-led efforts from 17 villages in the area with funding from the Guatemalan government and US donors, to build and operate community maternity centers called Casas Maternas Rurales. When Flori arrives at the Casa Materna Rural at 2 am, cold and frightened, a well-trained Auxiliary Obstetric Nurse is there to receive and calm her. She speaks to Flori in her native Mayan language and provides an immediate assessment. The nurse determines that Flori’s blood pressure is elevated, an indication of a dangerous complication called pre-eclampsia that can rapidly cause seizures and death. The nurse quickly arranges for Flori to be transferred to the nearest hospital four hours away. Once she arrives, appropriate treatment is given, and a healthy baby girl is born.