The Pakistan Initiative for Mothers and Newborns (PAIMAN) was a five year project funded by USAID. Contech was partner organization in the consortium led by John Snow Inc. (JSI). The goal of the project was to reduce maternal, newborn, and child mortality in Pakistan through viable and demonstrable initiatives in 10 districts. SO-4 (Strategic Objective-4) was implemented to increase capacity of MNH managers and care providers through competency-based training based on training need assessment and hands-on training (with involvement of both public and private health facilities). Training packages were developed and 700 district managers and other staff was trained on management areas. Contech strengthened the capacity of district health managers on various initiatives through advocacy and consultative meetings/workshops and trainings. Contech has achieved positive change in policies and practices through continuous consultation, advocacy and facilitation. They have established and operationalized District Health Management Teams, provided legal cover to 07 DHMTs, conducted provincial level Sensitization workshops, provided technical assistance to districts' core planning group, trained 1394 staff on HMIS, provided translation of DHIS manual in urdu, trained 4,871 staff on DHIS data collection tools and methods, 88 computer personnel on use of DHIS software and 227 managers (provincial and district level) on DHIS use of information, developed a district level DHIS newsletter, distributed shields based upon selection criteria, and prepared policy briefs on DHMT, DHIS and Decision Space Analysis to share with policy level officials and decision makers.