evidence: To safeguard the well-being of all pregnant women and their foetuses, the WHO launched new comprehensive recommendations/guidelines on ANC in 2016 [6,7,8]. However, recent evidence has shown that while coverage of maternal and child health services has increased during the MDG era, quality still lagged [9, 10]. Quality in ANC is assessed by the number of recommended ANC services a woman receives during pregnancy, including blood pressure checks, taking the woman’s urine and blood samples as well as the receipt of iron supplement [6]. Hence, receipt of these essential services is a proxy for quality ANC service. Bolstering health outcomes requires optimizing both coverage and quality of services [10]. WHO highlights the essence of quality ANC, thus the content or specific services provided to women during ANC visits. The frequency of ANC visits is, however, deficient in providing information about the content or component of services received. [...] Kanyangarara M, Munos MK, Walker N. Quality of antenatal care service provision in health facilities across sub–Saharan Africa: evidence from nationally representative health facility assessments. J Global Health. 2017;7(2).