Background; Health care and quality are inextricable, therefore to provide health care services without concern for quality is unprofessional and potentially deadly. Quality in African health care systems has become a major concern due to seemingly intractable poor health indices in most countries. Quality Management has been defined in many ways, a common definition is that QM is a philosophy consisting of principles, practices, and tools that includes principles or values such as customer focus, continuous improvement, and fact-based decisions.