MOMENTUM Safe Surgery in Family Planning and Obstetrics in Nigeria seeks to accelerate reductions in maternal and newborn mortality and morbidity by increasing the capacity of Nigerian institutions and local organizations to introduce, deliver, scale-up, and sustain the use of safe and appropriate surgical obstetric care; prevention and management of obstetric and iatrogenic fistula; and prevention and mitigation of female genital mutilation/cutting in the maternal health context. As part of the efforts to scale-up safe and appropriate surgical obstetric care, the project has worked with partners to strengthen and institutionalize the use of three key quality improvement (QI) approaches: maternal, perinatal and child death surveillance and response (MPCDSR); Robson classification, and the WHO surgical safety checklist. This brief discusses the Team's application of each of these approaches.