Globally, more than 350,000 women die each year in childbirth related problems. Nigeria’s maternal mortality is 50,000. This represents a decrease by 24% since 1990. Clearly, Nigeria faces challenges. The weak health system, women’s low social status, and harmful traditional practices continue to present significant barriers to efforts to improve women’s health. However, access to quality care in rural and remote areas is problematic. The Global Outreach Department of the American College of Nurse-Midwives developed Home Based Life Saving Skills (HBLSS) as a counterpart to its flagship program, Life Saving Skills (LSS). Life Saving Skills, developed in 1989, is for training health care cadres responsible for obstetric and neonatal care. HBLSS is a community education and mobilization tool specifically designed for non-literate or low-literacy populations. Through a series of community meetings, a trainer facilitates the recognition of obstetric and neonatal problems. With this recognition, participants learn to relate cause and effect after community facilitators demonstrate how the trained health worker learns to respond to such problems. The group then negotiates and comes to agreement on actions that can and will be taken by the family and community, including obstetric first aid skills and rapid referral. In September 2009, at the invitation of the Rebecca Mbok Foundation, I traveled to Nigeria to teach the HBLSS program to 44 invited health professionals. These Master Trainers agreed to teach Trainers who in turn would teach the Community Health Workers in HBLSS skills. The cascade effect of this training would impact approximately 15 thousand women within a community. The participants participated in a pre-test, post-test, and post-post-test (in 2011) evaluation of actions taken if a woman was bleeding too much after a birth in a community. Their scores were 38%, 92%, and 98% respectively. HBLSS is one mechanism to assist developing countries in decreasing maternal mortality at the local level.