This health facility assessment spanned 812 health facilities in Cross River State, Nigeria: 544 in the nine northern Local Government Areas (LGAs) and 268 in the nine southern LGAs. The assessment included public hospitals, primary health centers and health posts, and private hospitals and primary health centers. All facilities selected for the assessment had conducted at least 1 delivery in the previous 12 months. E2A assessed the quality of emergency obstetric care and coverage of services, including the functions of basic and comprehensive maternal and newborn care performed, human resources available, supplies and basic amenities available, as well as the causes of maternal and newborn mortalities and morbidities. Assessment results are informing how the Saving Mothers, Giving Life model adapted by E2A in Cross River State.