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Midwife student Sahr Philip Sheku from The Midwifery School in Masubu, Makeni, examines a patient during his training at the Masougbo Chiefdom Primary Health Unit in Bombali District.  The unit has recently received a solar lighting system funded by UNFPA, as part of H4+, which enables them to see what they are doing both during the rainy season and at night. The H4+ (made up of UNAIDS, UNFPA, UNICEF, UN Women, WHO, and the World Bank) was formed to implement the UN Secretary General's Global Strategy for Women's and Children's Health in order to make progress in 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.