In 2019, we expanded our impact metrics to include the number of Birthing Centers (BCs) receiving an initial Quality of Care (QoC) support visit from OHW. This process includes an on-site in-depth assessment visit scoring the performance of all key facility functions based on a standardized assessment tool from the Family Welfare Division. Following the assessment, the facility staff, local HFOMC and OHW staff create an action plan to address the mutually identified gaps. This process is maintained with supplemental visits on a quarterly basis until the facility meets their agreed upon targets and scores above 80% on the standardized assessment tool.