In collaboration with the World Bank, the Meghalaya Health Department is undertaking the development of a Service Delivery Redesign (SDR) Model to enhance the quality and outcomes for maternal and newborn health in Meghalaya. The primary objective is to ensure that all pregnant women, regardless of their risk, have access to comprehensive emergency obstetric and newborn services (CEMONC) at a First Referral Unit (FRU) within approximately 30 minutes of place-of-birth.