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This manual is an initial attempt to establish a standardized set of indicators that could be used across countries and/or programs for monitoring safe motherhood programs based on a birth preparedness and complication readiness approach. The manual provides guidance in assessing and monitoring safe motherhood programs that intervene at multiple levels. It establishes a set of indicators, called a Birth Preparedness and Complication Readiness (BP/CR) Index, for each of the six levels and provides a comprehensive set of tools for deriving these indicators and tracking progress.