Objectives: The study aimed at the evaluation of the quality of antenatal care services in South Western Uganda Methods: This research used a data set from the Population Council of Kenya, which was conducted in South-Western Uganda, and it drew a representative sample of health facilities, by administering a questionnaire and making an assessment of the facilities. The sample size was selected using a stratified; two stage cluster design and enumeration areas were the sampling units for the first stage. 31 facilities were included in the study drawn from 9 districts and among the facilities that were assessed, 5 were government owned, 17 were privately run and 9 were faith-based facilities. 15 facilities were clinic, 10 were health centers, and 5 were hospitals and only 1 dispensary. Data Analysis: The data was analyzed using IBM SPSS version 20. Findings: This project found out that, the intervention facilities offered more ANC services than control. Majority of facilities lacked essentials ANC drugs – only 2.0% of intervention facilities had delivery equipment. Except for cancer screening and child delivery supplies, facilities had essential supplies and equipment and recommended infrastructure (including a private ANC room for consultation) for provision of ANC services. Significantly different, facilities under control group were well supplied with ARV drugs. For service charges, control group charged more of the two except for caesarian delivery method which was not covered by the voucher program. Conclusion: Quality of care was high. The intervention program increased client satisfaction with ANC services received though little evidence exists on the effect the program on quality of ANC services. Low Socio-Economic status limits access to ANC services. Vouchers were consumed more by clients of low socio-economic status and there were no much difference between the two sets of facilities is evident.