Improving maternal and child health was established as a key government priority. Strong top-down support for change reinforced by legislation provided a guiding framework for transformations; Investigation into key challenges leading to a strong understanding of root causes ensured health reforms responded to needs; prenatal screening recommendations were developed and changes to resource distribution, provider training and incentives were implemented to promote uptake and adherence to new guidelines; financial incentives for patients helped encourage desired participation in prenatal care by women; service delivery reforms took time and adoption of a long-term vision was needed.
