High Maternal mortality and morbidity was and still remains an issue in our country. Building human resources with the necessary skills to manage emergencies during pregnancy continues to be critical, especially in rural and difficult to reach areas of our country. The Federation of Obstetric and Gynaecological Societies of India's (FOGSI) initiative is unique in the sense that one of the world's largest professional body of obstetricians and gynecologists forged partnerships with private bodies and the Government to secure technical and funding help to implement Comprehensive Emergency Obstetric Care (EmOC) program across 21 States. EmOC program over the last 6 years has created 6 nodal centers for training master trainers and has 197 medical college and 333 district hospital master trainers. A total of 34 medical officer training sites plus 235 district practicum training sites are ready. Using this massive infrastructure FOGSI has trained and built capacities of 1200 medical officer for providing comprehensive 24/7 EmOC services across India. EmOC is a 16 week long skill based program and each of the 34 training centers can do a maximum of 3 batches per year of 8 medical officers each, therefore it is an intensive course and maintaining quality over the 16 weeks is critical. The trained medical officers have demonstrated that the training has been useful since the number of out referrals is down and the number of women treated for emergencies in their centers has gone up. Avni is a key partner supporting the program planning and implementation.