ABSTRACT
Background: An Infant Death Review (IDR) programme was developed and implemented in twodistricts of Karnataka.Objective: We explored the processes that led to the development of the IDR programme with aview to improving the existing pilot programme and to ensuring its sustainability.Methods: A sequential mixed-methods design was followed in which quantitative data collection(secondary data) was followed by qualitative data collection (in-depth interviews). Quantitativedata were entered using EpiInfo (version 3.5.1) software and qualitative data were analysedmanually.Results: Apart from ascertaining the cause of infant deaths, the IDR Committee discusses social,economic, behavioural and health system issues that potentially contribute to the deaths. As aresult of the IDR programme, key actors perceived an improvement in infant death reporting atdistrict level, the development of a rapport with the local community, and elaboration of a feedbacksystem for corrective actions. This has led to improved health care during pregnancy.Conclusions: We found that involvement of the different stakeholders in planning and implementingthe IDR programme offered a platform for collective learning and action. Impediments to thesuccess of the programme need to be addressed by corrective actions at all levels for its futuresustainability