This project addresses a key concern of the Malawian Ministry of Health (MOH), namely, the persistence of a high maternal mortality ratio (MMR) of 675/100 000 live births despite a facility birth rate of 73%.1 With the goal of reducing MMR to 155/ 100 000, the MOH wants to understand how interventions aimed at enhancing quality of care that have proven effectiveness in other settings, specifically the Standards Based Management-Recognition for Reproductive Health (SBM-R(RH)) initiative, can be successfully implemented in Malawi. Read more...