Nearly 540,000 babies were born in 2015 in Zimbabwe; 12,800 of these babies died in their first month of life (a neonatal mortality rate of 24 per 1,000 live births). There were nearly 11,500 stillbirths (a stillbirth rate of 21 per 1,000 births) and 2,400 women died of pregnancy- and childbirth-related complications (a maternal mortality ratio of 443 per 100,000 live births).1-3 With all eyes focused on achieving the Sustainable Development Goals, Zimbabwe is looking to accelerate efforts to improve outcomes for women and babies. There is global consensus on the need for accurate information about causes of death using mortality audits to help inform efforts to end preventable maternal and perinatal deaths. Zimbabwe’s Ministry of Health and Child Care (MOHCC), supported by the United States Agency for International Development’s Maternal and Child Survival Program (MCSP) operating locally in Zimbabwe as the Maternal and Child Health Integrated Program (MCHIP), set out to document experiences in implementing maternal death review, perinatal death review, and/or integrated maternal and perinatal death surveillance and response (MPDSR) processes. Zimbabwe was one of four countries selected by MCSP as part of a multicountry assessment of MPDSR processes at the subnational level. The assessment sought to identify factors that facilitated or inhibited the uptake and sustainability of implementing MPDSR systems to improve quality of care and prevent future deaths.