A new report indicates that three-quarters of maternal deaths in Nepal occur within healthcare facilities or while patients are in transit to them. Experts attribute this high rate not to a lack of access to care, but to delays in referrals and substandard quality of care provided at birthing centres and district hospitals. This suggests systemic issues within the healthcare system are contributing significantly to preventable maternal mortality. The findings highlight a critical need to improve the efficiency of referral processes and enhance the quality of obstetric care available throughout the country. Addressing these issues is crucial for reducing maternal deaths and improving maternal health outcomes in Nepal. Further investigation is needed to pinpoint specific areas for improvement within the existing healthcare infrastructure. The report underscores the importance of focusing on care *during* the healthcare journey, not just access to it.