1. Study the Existing System of Healthcare Delivery
To begin the analysis of the current system of care, representatives from each stage of healthcare delivery for pregnant women were chosen to form a team at each pilot facility. The representatives would be primarily responsible for analyzing and improving the system of care. The facility-level teams included senior physicians, obstetrician/gynecologists, nurses and midwives, and other professionals who were in positions responsible for ensuring the implementation of changes made to clinical practice. Together these professionals provide insights on clinical content and organization for each step in the process of care. The team carefully reviewed and discussed their understanding of the organization of the system of care, which yielded a detailed flowchart (Figure 2) to illustrate the process of healthcare delivery as it was at that time.