High-quality service delivery is at the core of an effective health system, ensuring that individuals receive safe, timely, and client-centered care that meets their needs and expectations. In the context of health systems strengthening (HSS), improving quality of care is essential for increasing trust in the health system, enhancing health outcomes, and sustaining high-impact interventions, particularly in family planning and reproductive health.

Quality of care encompasses multiple dimensions, including clinical effectiveness, patient safety, responsiveness, equity, and continuity of care. Facility-based providers and community health workers (CHWs) play a crucial role in delivering high-quality services, but their success depends on strong governance and the availability of essential resources. Continuous quality improvement (CQI) approaches, such as clinical mentorship, supportive supervision, and performance monitoring, help ensure that providers adhere to evidence-based guidelines and respond effectively to client needs.

This section of the HSS toolkit offers strategies, tools, and best practices for improving service quality across health facilities and community-based settings. By institutionalizing quality improvement processes and fostering a culture of excellence, health systems can enhance service delivery, increase client satisfaction, and ensure sustainable improvements in health outcomes.