One of the objectives in Milennium Deveopment Goals (MDGs) is decreasing maternal mortality rate (MMR). Currently, by the end of MDGs in 2015, MMR in Indonesia is recorded at 359, out of the target that it should be decreased to 102. This resarch is a multy years program, aiming at reducing maternal death by providing sheltes services in rural areas. There are many methodologies will be used during the period of research. The methodology of an action research approach will be implemented. In the first year, a qualitative study already conducted and designed need assessment tools before developing the program further. The researcher from Germany and Indonesia developed a training modul to be used in an experimental study for the Mid-Level Providers (MLP). In the second year, the researchers team from Indonesia will visit Germany to develop shelter model with expert from Germany. An qualytative research will be planned by conducting a shelter model pilot project and training of trainer for midwifes. The result of this trial will be evaluated and discussed qualitatively with stakeholders. The evaluation from the second year then will be a concern to conduct a qualitative study in the final year for model redevelopment and national conference dissemination. The output in second year were international reputated publications (Scopus Index Q4 accepted in Global Health Action), invited speaker in scientific international forum 2 Times in Yogyakarta and Surabaya (Proceeding Scopus), Two monograph books : Panduan Kader Bagi Kesehatan Ibu Hamil and Scalling Up Nutrition The future of Indonesia, Copyright : Panduan Deteksi Kebutuhan Ibu Hamil Bagi Kader Kesehatan