Birth Companion Intervention in Ethiopia, Kenya and Nigeria

Inclusion Criteria: Facilities * Prior to randomization, head of facility grants permission for facility to participate in the study * Be willing to develop, adopt, and implement the BC standard operating procedures and other components of the BC intervention package * Have more than 16 births per month during the past three months * Be in the Addis Ababa and surrounding area, Ethiopia, in Muranga and Machakos County, Kenya or Nasarawa and Kano states, Nigeria Providers * At the time of enrollment, providers need to work in ANC or labor and delivery ward(s) of the study facilities * Able and willing to provide informed consent to participate in the study Mothers * Per participant report, age 15 years or older * Have vaginal birth * Able and willing to provide informed consent to participate in the study Birth companions * Per participant report, for emancipated minors, age 15 years or older. If not an emancipated minor, per participant report, 18 years or older * Was present at labor and/or delivery * Identified as a BC by the delivering mother * Able and willing to provide informed consent to participate in the study Unit managers * Involved in the implementation and management of the BC intervention * Able and willing to provide informed consent to participate in the study Exclusion Criteria: Facilities * Facility staff strike or other disturbance to routine care noted prior to randomization that would pose significant challenge(s) to achieving the study object…