In an effort to help save mothers and babies in India, Merck’s global initiative, — a 10-year, $500 million initiative to help create a world where no woman dies giving life— joined forces with the U. S. Agency for International Development (USAID) to help small Rajasthani health care facilities meet new nationally-accredited standards for maternal care. In order to reach this ambitious goal, Merck for Mothers and USAID turned to an innovative financing mechanism: a development impact bond.