Background – Midwifery service is a health effort provided by midwives as a strategic health worker. The World Health Organization (WHO) in its policies and programs for maternal and child health services has changed the service model from segmentation to continuity of care (COC) by focusing on the comprehensive coverage of effective interventions, integrated care throughout the cycle, live and build a comprehensive and responsive health system. This study aimed to examine the effect of the quality of midwifery services on the achievement of midwifery continuity of care. Methods – The study used a cross-sectional design. The study was conducted in six community health centers in Kupang City. The inclusion criteria were mothers who had completed the postpartum period with a maximum of 60 days, and the baby was aged 2 months. A simple random sampling technique was used to obtain the respondents of the study. Data were collected using a questionnaire and a Maternal and Child Health Handbook and analyzed using SPSS 23. Result – There is an effect of the quality of health services on midwifery continuity of care with p = 0.002 OR 9.7, 95% CI 1.9-49.0. Conclusion – The quality of health services that mothers receive during pregnancy and childbirth increase the achievement of continuity of care