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A comparison of the National Family Health Survey - 3 and - 4 data highlights the fact that in India, access to antenatal and postnatal maternal care for the urban poor improved significantly between 2005 and 2015. Yet access to such facilities remains limited, mostly due to high out-of-pocket expenses. In addition, the analysis concludes that a renewed look at the quality of maternal care is urgently required. Besides the overall picture, the report card explores the status of antenatal checkups, delivery and postnatal care, anemia, and tetanus among women. This document is relevant for NGOs and grass-root level organizations working to improve maternal health outcomes in urban areas. It also highlights key focus areas for health policymakers.