Quality of care measurement is critical for demonstrating whether QoC is improving and results are achieved. A MNH QoC monitoring framework and standardized tools for MNH QoC measurement were co-designed with Network countries and partners in 2018. Measurement includes a set of 15 QoC MNH common indicators that measure important aspects of provision and experience of care and water, sanitation and hygiene (WASH). Learning districts and facilities measure these indicators and coordinate measurement activities across their constituent learning sites, with the support of the MoH and partners. Progress in documenting and sharing this data varies across countries, reflecting the capacity and constraints of the information system.