Maternal and neonatal mortality rates in Mozambique are high: 451.6 maternal deaths per 100.000 live births (2017).1 In primary healthcare centres, death occurs more frequently within the first 2 hours of the pregnant woman reaching the hospital, highlighting the precarious conditions and women's late arrival to the health centre (HC).
The Focus of this implementation research was to:-
•Identify the gaps between the SBM-R (RH) program and the ground reality across the Malawian healthcare context.
•Co-produce and test potential solutions to improve the effective implementation of the SBM-R (RH) initiative to enhance quality and equity of care provided in the health centers.
Increasing access and utilization of health care services is not sufficient for maternal health outcomes. However, health care providers should consider providing services that are safe, and of high quality if positive maternal and neonatal outcomes are to be achieved.
The project aimed at addressinga key concern of the Malawian Ministry of Health (MOH), namely the persistence of a high maternal mortality ratio (MMR) of 439/100,000 live births despite a facility birth rate of 73%.