This was custom-made to order. I no longer carry a maternal and child health handbook, so I'm offering it to someone who can use it. I ordered it for a family of three, so it has pockets for three of each: cards, maternal and child health handbooks, etc. It was made to fit an A5-size maternal and child health handbook, so it's A5 size. It has a large capacity, so you can carry everything in one place. Please check the photos and consider purchasing. Multi-case Accordion style