Care during pregnancy or Antenatal care (ANC) is widely recognized as an essential element of safe motherhood. India contributes 20% of the total estimated maternal deaths (536,000) that occur globally each year as per WHO estimates. Most of these maternal deaths occur during the third trimester, child-birth and the first week after birth. The UP TSU supported the Government of Uttar Pradesh in planning and implementing community interventions to strengthen antenatal care in Uttar Pradesh rural areas.