IntroductionrnOne of the most important ways to address some of the key factor associated with both maternal and neonatal mortality is assuring emergency obstetric and neonatal care with maximum quality of care at the time of labour, delivery and immediate after birth. However, improved quality outcomes are not delivered by health service providers alone communities and service users are the co-producers of health. Therefore, mothers have critical roles and responsibilities in identifying their own needs and preferences.rnObjectives: - To assess mothers‟ and provider‟s perception on the quality of maternal and newborn care and associated factors during the time of labour, delivery and immediately after birth in the selected hospitals of Addis Ababa.rnMethodology: - Institution based cross sectional quantitative and qualitative study design was conducted. For quantitative part of the study, multistage stratified sampling technique was used to reach sample size of 633. Pretested structured questioner was used as the main tools for data collection from March to April 2016. Data coding and checking were done by using EpI Info version 7 and imported to STATA 12 for cleaning and analysis. To determine factors associated with perceived quality bivariate and multivariate logistic regression were applied at 95% CI and p value