Abstract: Objective To explore the use of tracking methodologies to construct tracking framework of maternal health quality onsite assessments in the secondary level MCH hospitals,including tracking contents,points,and procedures.Methods Using literature review,expert discussion,on-site investigation to formulate tracking framework for on-site assessment of maternal health in secondary MCH hospitals.Results Formed the core contents,key points and tracking path of maternal and child health quality tracking in the secondary level MCH hospitals.Conclusions The research outputs can be used as an effective tool for on-site assessment to ensure the quality and homogeneity of the organization's review and they can provide reference for the grassroots MCH institutions to strengthen their own standardized management. However,due to factors such as time and manpower,there are still limitations,which can be further studied.