Making birthing safer for women in Punjab (Feb 01, 2011 to June 30, 2014) Neonatal and maternal deaths remain a public health challenge; enhanced skilled birth attendance an approach to address the challenge. Lady health workers, being gatekeepers, has potential role in promoting the skilled birth attendance. Location: 3 selected districts of Punjab. Activities: More than 1500 lady health workers listed and enabled for birthing planning and emergency preparedness intervention; Directory of skilled birth providers in each union council developed and provided to lady health workers in three districts. More than 60,000 pregnant women were registered, offered various options for birthing planning and emergency preparedness, and followed-up for birthing experience and outcomes (including neonatal and/or maternal deaths). Performance of lady health workers, as skilled birth promoters, was monitored at a regular monthly meeting at the respective facility. Outputs: More than 60,000 women offered interventions for an informed decision/plan to get skilled birth attendance. Birthing outcomes of all the registered (60,000) pregnant women recorded, reported and analyzed.