MSF has been working in the clinic since March 2017. Choloma, a rapidly expanding industrial area, is now the third most populous city in Honduras and is notorious for its high levels of violence. With only a few hospitals nearby, women in this area previously had difficulty accessing medical services; few pregnant women received antenatal care and vaccination coverage was low. The result was high rate of medical complications among women in reproductive age and high numbers of childbirth-related deaths.