In the remote, mountainous areas of Gilgit-Baltistan, women have very little mobility due to the extremely rugged terrain and the conservative local culture. For those of childbearing age, this means poor access to basic reproductive health services. In Chitral District, for example, less than onethird of deliveries are attended by a professional healthcare provider. As a result, the region has one of the country’s highest mortality rates for young mothers and newborns. While a major obstacle in accessing skilled care is the lack of appropriately trained health service providers, even where services do exist, women find it difficult to pay for them.