Table 1

Stakeholders engaged in the initiative by level (national, regional or community) and relevant key activities and actions at each level

LevelTargetKey advocacy issues
National levelNational health, policymakers, legislators, regulators
  • Assessing progress in maternal and infant health.

  • Monitoring emergency obstetric care and resource use.

  • Allocating resources to maternal health programmes at the country level.

  • Implementing policy to improve maternal health quality services.

Regional levelHealth programme managers
  • Allocating funds to increase availability of epidural anaesthesia during labour at all the birth centres.

  • Building training initiatives for healthcare operators to work under ‘Code Red’ situations during labour and delivery.

  • Adopting a caesarean section classification system to monitor and compare caesarean section rates in a consistent and action-oriented manner.

Clinicians attending women: family doctors, gynaecologists, midwives
  • Educating patients about the risks of caesareans and promotion of vaginal delivery as a natural event.

  • Training.

Community leaders and maternal health advocates
  • Disseminating information about delivery methods.

  • Creating advocacy agenda and the use of small and mass media and interpersonal communications to influence perceptions about vaginal delivery.

  • Mobilising women to demand access to maternal health services with high-quality standards.

Community levelMedia
  • Ensuring communities are informed regarding the pros and cons of CS.

  • Creating awareness about the overutilisation of CS.

  • Keeping informed and making choices according to their health needs.

  • CS, caesarean section.