Methods: description
The proposed study is composed of two layers of interventions:The first refers to the ANC package adapted by each country or state (in India the study will be conducted in Assam and Tamil Nadu states). The adapted ANC packages are based on the WHO 2016 ANC recommendations. Each country or state adapted the WHO recommendations through a standardized process, which included conducting a situational analysis and stakeholder consultations to meet local needs and context. [The second refers to the co-interventions (or implementation strategies) to support the implementation of the adapted ANC package. The study’s co-interventions, the ‘how to’ components of changing health service provision [