The international community lacks consensus around key indicators or summary measures to capture effective, high-quality care to reduce maternal and child death. The Quality of Care Index (QOCI) consists of 17 indicators related to family planning, antenatal care, delivery care, immunization, child curative care, and WASH. It provides insights into subnational regions and health service areas that most need quality of care interventions. Future research should consider additional indicators, including indicators that capture client experience.