The Initiative focuses on improving maternal and child health by increasing coverage of immunizations, reproductive services, maternal care, and child health services among the poorest 20% of the population. The data IHME collects and analyzes, in collaboration with IDB, capture changes in the key maternal and child health indicators targeted by SMI. Survey instruments are specifically tailored to each indicator and country. These surveys include health facility and household surveys. The health facility surveys includes a questionnaire, direct observation, and medical record review. The household surveys include a census to sample households from, a household-level interview, and women and children specific interviews.