Enabling change in public health services: Insights from the implementation of nurse mentoring interventions to improve quality of obstetric and newborn care in two North Indian states

<ns5:p> <ns5:bold>Background:</ns5:bold> Few studies have explicitly examined the implementation of change interventions in low- and middle-income country (LMIC) public health services. We contribute to implementation science by analyzing the implementation of an organizational change intervention in a large, hierarchical and bureaucratic public service in a LMIC health system. </ns5:p> <ns5:p> <ns5:bold>Methods:</ns5:bold> Using qualitative methods, we critically interrogate the implementation of an intervention to improve quality of obstetric and newborn services across 692 facilities in Uttar Pradesh and Bihar states of India to reveal how to go about making change happen in LMIC public health services. </ns5:p> <ns5:p> <ns5:bold>Results:</ns5:bold> We found that focusing the interventions on a discreet part of the health service (labour rooms) ensured minimal disruption of the status…