The Public Health Foundation of India (PHFI) and the St. John’s Research Institute (SJRI) are leading the evaluation of the testing of Safe Childbirth Checklist (SCC) which is implemented by the Government of Rajasthan with technical support from Jhpiego. The SCC, developed by the World Health Organization (WHO), is implemented to improve the quality of delivery care practices in public sector First Referral Units (FRUs) across 7 districts in Rajasthan over a three-year timeframe, 2012-2015. PHFI-SJRI will evaluate the effectiveness of the Checklist in preventing perinatal deaths (early neonatal deaths & still-births) and reducing maternal and neonatal complications. Evaluation (using a quasi-experimental design) will include data collection on a total of about 200,000 births from 100 FRUs (district and taluk hospitals) in the seven intervention districts and another 100 FRUs in six comparison districts where usual care without the SCC is offered. It is anticipated that this intervention will help improve quality of care and bring down perinatal mortality by 15%. The study is on-going. A baseline assessment of the status of institutional perinatal mortality rate is currently being undertaken.