“This guide provides direction on how countries can develop and strengthen national learning health-care systems to learn how to improve, sustain and scale up QoC for MNCH. It is a working document that will be updated as new guidance comes in from the field. This guide is meant for health system managers, QoC implementing partners, researchers, policy-makers and health-care providers involved in developing and implementing QoC programmes at the facility, district and national levels. This learning guidance is based on a conceptual framework for national learning health-care systems to sustain and scale up delivery of quality health care. People unfamiliar with the concept of national learning health-care systems are encouraged to read the background document explaining the conceptual framework before continuing with this learning guidance.” -WHO