Throughout its engagements in India, the John D. and Catherine T. MacArthur Foundation has focusedon building in-country capacity that supports long-lasting change and betters the health and well-beingof those in the country. As the Foundation's Population and Reproductive Health (PRH) engagementscame to a close in 2019, it considered how to leave the field and stakeholders in India poised to take onthe ongoing task of improving maternal health—a key to achieving social, financial, and physical wellbeing. Recognizing quality as the linchpin for making more progress on maternal health, the MacArthurFoundation focused its final PRH grants on improving maternal health quality of care (MHQoC) in India.This final round of funding in India supported long-standing work designed to transition the country tothe next phase and launch promising innovations. Using information collected from the final phase ofthe MHQoC strategy (April 2018 through July 2019), this report represents the culminating review of thestrategy, assesses its contributions to the quality of maternal health care, and considers the implicationsfor the future of the field. Results are presented by each of MHQoC strategy's three core substrategies:supply, demand, and advocacy.