| Essential medical list | • Include drugs and commodities needed during labour and childbirth in the national supply lists for e.g.: partograph, vacuum extractor, oxytocin. |
 | Logistics management | • Strengthen logistics management systems and national capacity through use of appropriate and available communication technologies. |
Essential Medical Products and Technologies | Infrastructure and equipment | • Institute centralised blood data storage and blood donation camps. |
 |  | • Ensure essential equipment is available for BEmoC at first level facilities including vacuum extractors and forceps. |
 |  | • Rationally expand number of caesarean section services across the country and provide caesarean section kits. |
 | Increase service delivery | • Expand the number of 24/7 services, especially the availability of BEmOC and assisted vaginal delivery services. |
 | Quality of Care | • Improve quality of care through improved mentorship and robust performance monitoring and supportive supervision systems for SBAs. |
Health Service Delivery |  | • Improve remuneration and incentives (working hours, food provision) to improve working conditions, motivation and promote respectful care practices. |
 | Strengthen referral care | • Improve referral links and transportation systems through context based planning to ensure inequities in access are minimised. |
 | Strengthen and integrate health management information systems | • Strengthen vital registration systems at national and local level. |
 |  | • Improve reporting systems and tools to ensure data quality and build national capacity for data-driven decision making (e.g. dashboard). |
Health Information System |  | • Institutionalise regular spot checks to see whether indications for caesarean section were followed. |
 |  | • Incorporate community and private facility data into national HMIS. |
 | Perinatal death audits and registers | • Institutionalise maternal and perinatal death audits and quality assurance mechanisms with full audit cycle based on action and accountability. |
 | Health promotion, education, community engagement | • Sensitisation and health education to improve demand for quality obstetric care, respectful care and access to skilled birth attendance and emergency obstetric care. |
Community Ownership and Participation |  | • Develop innovative community partnership models and promote transparency and social accountability for obstetric services. |
 | Male involvement | • Promote male involvement through use of male role models, inclusive policies and more targeted health education. |
 | Improve Referral linkages | • Strengthen continuum of care from household to health facilities through functional communication, transport and referral services. |
 |  | • Establish functional communication, transport and referral services. |