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Sia Sandi, a student midwife from The School of Midwifery in Masuba, listens to a patient's foetus' heartbeat using a Pinard Stethoscope while on placement at the Makeni Regional Hospital. Her training is being funded by H4+ (made up of UNAIDS, UNFPA, UNICEF, UN Women, WHO, and the World Bank), formed to implement the UN Secretary General's Global Strategy for Women's and Children's Health and progress the health-related Millennium Development Goals (MDGs). In Sierra Leone, the H4+ is working on fundamental programmes to strengthen health systems, in particular reproductive, maternal, newborn and child health care, including the implementation of new training policies for midwives.