This document summarizes a project in Alamata, Ethiopia that aimed to increase facility births through embracing respectful maternity care. Key interventions included training midwives and nurses on respectful care, integrating traditional birth attendants into the healthcare system, increasing community awareness of birth risks, and improving the cleanliness and cultural sensitivity of the local health center. Over four years, these efforts led to a dramatic increase in facility births in Alamata, from only 20% previously to over 80%. The project demonstrates that respectful care can help overcome barriers preventing women from giving birth at healthcare facilities.