Together with the staff of the Sardjito Hospital (teaching hospital of the GMU SM), local D/MHOs and the GMU MS Department of Public Health, the CHSM developed Standard Operating Procedures for S-R core and support functions of MNCH priority diseases (e.g., postpartum bleeding, preeclampsia/eclampsia, LBW and pneumonia) as well as of other major diseases (e.g., malaria, TB, DM and hypertension). The training sessions and consultations were effectively executed in the target districts and municipalities. Based on the performance of the electronic bulletins, however, only one DHO has a functioning S-R support unit. Efficacy of the S-R Systems strengthening approach used by the CHSM could not be evaluated by way of on-the-spot interviews, observation and review of S-R records/ reports due to financial constraints.