Technical workforce skills and evidence-based strategies are not necessarily sufficient to move the needle on maternal health outcomes; contextual factors such as challenging political environments, lack of leadership support, funding insufficiency, staff turnover, and historically inequitable programs and outcomes also influence the ability of MHIs and RMOMs to make an impact. These systems thinking and mapping tools provide opportunities to see your work in the context of the ‘big picture’ and strengthen collaboration within agencies and across sectors.