The WHO Safe Childbirth Checklist (SCC) is a patient safety tool that consolidates essential birth practices to prevent the major causes of maternal and newborn morbidity and mortality. The tool has been implemented in the southern regions of Mali, with demonstrable results. To address maternal and newborn mortality in areas where MOMENTUM Integrated Health Resilience works, the SCC was implemented in 23 health facilities in the Gao district beginning in December 2022. Post-training follow-up found that 21 facilities used the tool on 1,298 out of 1,698 deliveries (76 percent). 95 percent of users reported that the tool was very useful in demonstrating that SCC use in fragile settings may be feasible and useful to help reduce maternal and newborn morbidity and mortality.