Funded by USAID, the Ghana Information for Improved Healthcare Performance is a three-year implementation research study led by Boston University Center for Global Health and Development that is working with the Eastern Region Health Directorate of the Ghana Health Service (GHS), Management Sciences for Health (MSH) and Dimagi to improve health facility service delivery through performance measurement system (HPM) and collaborative quality improvement (CI) in district level hospitals in Eastern Region of Ghana. This an intervention study with five hospitals trained and implementing HPM in combination with CI, using an mHealth platform to collect and analyze routine performance data for decision making. The five control hospitals are continuing with the current standard practice of delivery health services. The goal is to assess the effectiveness and cost-efficiency of a HPM/CI intervention to improve quality of care and patient satisfaction, thereby contributing to increased utilization of services and improved maternal and neonatal outcomes. Maternal and neonatal outcomes related to skilled delivery, family planning acceptance and postnatal checks would be compared between intervention and control arms.