1. Deaths among Adivasi women in Chamarajanagar continue to be unfairly/unacceptably high. For instance in 2022/2023 (verify with Tanya), while there was 1 maternal death for over 900,000 population of non-Adivasi in the district, there were 3 for <50,000 Adivasi. Although not causally related, the high proportion of home deliveries possibly indicates limited trust, access issues (not only geographical) and acceptability issues of what we consider "safe birth" (and often equalise it to "institutional births"). Upon request from the district when there was a high "visibility" for maternal health (as a response to the [Ballari maternal deaths issue](https://thesouthfirst.com/karnataka/maternal-death-toll-in-ballari-hospital-touches-five-after-one-more-woman-dies/)), IPH submitted a note outlining possible practical strategies that the district could consider. The note is [submitted](https://docs.google.com/document/d/1eqJeoud940ipXXiI8H4aD2mXmvmmRcosBui8xtzha40/edit?usp=sharing) 2. A similar note for state level policy reforms was submitted. The note titled *Note on Systemic Reforms for Improving Maternal Health in Karnataka*. Note was created after in-house consultation with public health practitioners and others who have insights into maternal health based on their research and practical field experience in Chamarajanagar and other districts of Karnataka. Many inputs shared were from existing literature, consultations on maternal health with different stakeholders in past research and with the southern regional chapter of CommonHealth (a coalition for reproductive health and safe abortion). In this note, the authors take a comprehensive approach to address systemic gaps across maternal health, from mortality and morbidity to equity, regulation and respect for maternal health as a fundamental right. This note offers a list of strategies and acts as a directory for exploring each strategy further, as shown in the detailed table enclosed. [See note here](https://drive.google.com/file/d/1K1DxhByWAbMi4ZoHRRcXXxNV_qa-nJB7/view?usp=drive_link) 3. Angel Sudha's doctoral work on institutional/systemic/organisational factors underlying [[rising caesarean sections]] in public hospitals in Karnataka and the quest for an action framework that can help identify ways to make more appropriate use of CS