This implementation guidance has been developed to support countries in accelerating efforts to improve quality of care. It provides an outline for government officials, regional and district managers, and service providers to: develop a more integrated approach to quality planning, improvement and control; harmonize multiple efforts; and use a learning system to demonstrate, implement and scale up the quality of care in the health system. It also lays out a systematic process for building both institutional and clinical capabilities to support the implementation, scale up and sustainability of quality of care, at national, district and health-facility levels.