<p>The authors claimed they identified and reported on response activities even though they only documented whether or not audit was conducted. For such an important public health problem, response activity should go beyond audit to include tangible public health actions to reduce the maternal mortality reported. Reporting of 100% for some districts as 'other courses is worrisome'. It implies lack of effort to identify the challenges in those districts and so it will difficult to generate evidence that will inform public health actions</p>