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Ngami Health District has been one of the districts in Botswana that was struggling with a high burden of maternal deaths over the years with the district reporting 9 maternal deaths out of the 85 maternal deaths reported by the country in 2016, making it the third highest after the 2 national referral hospitals. Following 2 national summits that brought together the districts contributing the highest maternal mortality deaths, Ngami districts developed a response plan aimed at instituting and implementing remedial measures for the identified causes. This resulted in a significant decline as the District reported three maternal deaths in 2017 and 2 in 2018.