The Program for Appropriate Technology in Health has identified a sanitizer and disinfectant called Byotrol to be tested for use during birthing. Byotrol is an antimicrobial disinfectant in a water-based foaming formulation. Byotrol is to be used in health settings in developing countries where water and soap and alcohol-based sanitizer are not easily available or adapted by health care workers. PATH is the recipient of a two-year grant that will be used to evaluate the use of Byotrol against the protocol disinfectants and will determine provider acceptability, efficacy, and feasibility.