1. Lesson Learned: Training is not enough for making lasting change.

How related to achievements: We developed a system for change – training process, implementation, follow-up.

2. Lesson Learned: Initial needs assessment was not broad enough and only surveyed some providers.

How related to achievements: Skewed results to high end for provider priorities – had consequences with initial post-partum survey.

3. Lesson Learned: Need leadership at all levels of project.

How related to achievements: Pieces with strong leadership rose more successful than others.

4. Lesson Learned: Developed a system, but a certain percent of women fall outside the system (those that have no pre-natal care).

How related to achievements: Need to have resources to develop a way to reach women with no pre-natal care – "missed opportunities."