This study examined client and provider perceptions of integrated family planning (FP) and childhood immunization services in Kenya and Uganda. It found that respect and dignity were central to perceptions of quality, with these factors resulting from access to services, contraceptive choice, communication, and confidentiality. Both clients and providers believed the integration improved access to services and confidentiality, especially in settings where contraceptive use is stigmatized. The findings emphasize the importance of understanding these perceptions to design high-quality, client-centred FP services.