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. 2021 Jan 21;6(1):e004022. doi: 10.1136/bmjgh-2020-004022

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© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

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Associated changes through the co-created, complex urban maternal and perinatal health care intervention (2010–2019): redistribution of births (A), SBM-R quality score (B), operative birth (C), facility-based MMR (D), and stillbirths and neonatal mortality rate (E). The strong horizontal line in (B) represents the 60% bar that is the minimum standard performance expected for health facilities by the Ministry of Health. BEmONC, Basic Emergency Obstetric and Newborn Care; MMR, maternal mortality ratio; PNMR, Perinatal Mortality Rate.