Districts and sites Using a matched (for client volume) case control strategy, the MM intervention will be piloted and evaluated in PHCs in two districts, Gulbarga and Bellary that have a total of 122 24x7 PHCs (Gulbarga 70; Bellary 52). Sixty one PHCs (Gulbarga 35; Bellary 26) will be randomly assigned to an MM intervention or experimental group (stratified by taluka and 6-monthly patient delivery load), while the rest will serve as control sites.