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Pakistan is one of the six countries that account for more than 50 percent of the world’s maternal deaths. Each year, there are nearly 14,000 pregnancy-related deaths. Although maternal mortality has fallen from 533 per 100,000 live births in 1990–91 to 276 in 2006–07, Pakistan has not been able to achieve its Millennium Development Goal target of reducing maternal mortality to 140 per 100,000 live births by 2015. Planners require a method that can provide reliable subnational estimates easily, cost effectively. and with greater regularity. The Research and Advocacy Fund offered support to the Government of Pakistan to assess the feasibility of testing a new community informant-based approach, “Made-In Made-For,” for estimating the maternal mortality rate at the community level. A pilot study was conducted by the Population Council to test the approach in Chakwal, a district of Punjab, with promising results. Subsequently, government officials indicated their interest in seeing the approach scaled up in at least one province, Punjab, to provide reliable provincial-level estimates. This study has identified specific areas that need strong policy and programmatic interventions to improve maternal health outcomes.