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A strong health system must be able to monitor quality of care and work to improve it to achieve better health outcomes. It can be further strengthened if the culture is such that health care workers, patients, and community members are empowered to take action towards improving their health services. However, the complexity of health care systems makes it difficult to identify whether health facilities are meeting targets, where they fall short, and how they can improve service delivery. Continuous quality improvement (CQI) refers to an iterative, data-driven process of empowering health care workers to improve health service delivery by identifying problems, implementing solutions and monitoring efforts to improve care, then measuring the effectiveness of these efforts. This brief details PATH's approach to CQI.