| 1. At the country level, establish a maternal/newborn/child health alliance with public, private, and non-governmental partners |
| 2. Form a functional working group for advocacy, planning, training, and monitoring at the country level. Through the working group, identify gaps in the current system, establish performance standards, set specific goals, and develop a financial plan to implement and sustain the program(s) |
| 3. Develop a plan for national-to-facility levels training, which achieves high-quality coverage of providers in both public and private facilities |
| 4. Provide appropriately adapted learning materials, equipment and supplies simultaneously with training |
| 5. Identify and support local leaders and champions |
| 6. Set up local systems for frequent, brief refresher training, debriefing, and audits |
| 7. Support the function of facility-level perinatal quality improvement teams |
| 8. Collect and report local data on a standardized set of indicators of basic processes of care and patient outcomes |
| 9. Develop a system for looped reporting and feedback to/from all levels of the health system and the working group |
| 10. Engage and empower health care providers, families, and the broader community in the initiative |
