The Government of Meghalaya is committed to improving the health status of its citizens. Despite considerable challenges, the state has shown progress in various health indicators over the last decades. To further accelerate the progress, the Department of Health and Family Welfare (DoHFW), Government of Meghalaya, with technical and financial support from the World Bank, is implementing the ‘Meghalaya Health Systems Strengthening Project’ (MHSSP) in the state. The MHSSP intends to improve accountability, quality and utilisation of health services in Meghalaya, especially among public facilities at Primary Health Center (PHC), Community Health Center (CHC) and District Hospital (DH) levels.