ULTRA accepts online or offline data entry on a mobile, tablet or desktop, and can store data storage on local servers. This project is planned for the Kilimanjaro Region, Northern Tanzania, which has 44,000 births annually. Four of the seven districts in the region will be randomly selected to test ULTRA for recording perinatal data for home births. The minimal dataset, will be based on core data and a Delphi survey. ULTRA+ is similar to ULTRA but has more core data (WHO) augmented by requirements determined by Delphi to suit local needs. In both phases, we will test the system’s usability and acceptability by users, its cost compared to existing system and sustainability. Throughout, we will engage with stakeholders at annual workshops. Impact: This proposal prioritises “Gender equality” of the “A Better World” strategy and with SDG 3 and 5, highlighting the importance of improving maternal and child health. ULTRA will enable audit and quality control for maternal health services. It will be an inbuilt service tool which can also measure the impact of interventions. If this works in Kilimanjaro, it can work anywhere.