NEW YORK CITY: The baby’s head had been crowning for hours. The nearest health facility was 40 km from the village — a distance that, on the broken roads winding through Badakhshan province in northeastern Afghanistan, translates into a three-hour drive. There were no vehicles available. By the time the mother reached the provincial capital, Faizabad, the choice facing medical workers was bleak. To save her life, the baby could not be saved.