Summary: The Service Provision Assessment (SPA) is a health facility survey that collects information on service availability and Quality of Care measures within a country’s health system. SPAs fill an urgent need for actionable monitoring data in participating countries. The SPA assesses availability and QoC for a wide variety of services with a focus on antenatal care, family planning, maternity care, and sick child services. Quality of Care measures include indicators in two dimensions: structural quality (physical and human resources) and process quality (provision of care and experience of care). Redesigned tools were launched in 2022.