After an intensive and extensive period of training on the National Guidelines for MDSR, many hospitals and health centre committees are now functional and regularly review Maternal Deaths and near misses, making changes to improve care. Deaths are increasingly being reported up to Regional and National level and a second wave of training to extend the system is about to begin. The MDSR system has been received really well and in the words of the CEO of Butajira Hospital – “The MDSR system is very nice. We share lots of things in order to solve the problems every month. Even if we don’t have a death we discuss the near misses.” According to an update from a network member, an example of specific actions being taken at the facility level in Ethiopia includes the purchase of a new generator at a District Hospital in Oromia in response to a maternal death which had occurred during a power shortage.