B. Routine continuous monitoring: First, project staff will routinely document staffing, training, financial and other project inputs, data that will be crucial for assessing the feasibility of scale up to other districts. During bi-monthly MM visits, staff will have a proscribed list of data to collect. As well as keeping details of staff at the sites their training background and any clinical mentoring given, the mentors will have a proscribed list of clinical skills to observe; wherever possible during their 3 day visits, they will observe women in labour, after delivery and in the postpartum ward, and where this is not possible, they will use models and case studies to assess staff skills. There will be continuous monitoring of the MM interventions through reports of MM visits that will include: documentation of visits through trip reports that detail facility meetings, talks given, happenings in the PHC or area and notes on any morbidity and mortality discussions; completed clinical competency checklists for mentored individuals. They will also photocopy the case sheets, which will have been used as a basis for discussion during the visit and facility action plans, for review by KHPT clinical staff. The case sheets will also be collected quarterly from the control sites by the KHPT district staff. These staff will encourage use of the case sheets at each of their quarterly visits without any additional training or mentoring.