Many quality methods used in the west are not appropriate in this situation. There is a need to find a “way to quality” which is appropriate. Several studies show that most people in developing countries are not satisfied with the quality of public and private care and feel that something should be done.

Even health care staff members derive greater personal and professional satisfaction from their jobs when they can offer good-quality care and can feel their work is valuable. Some studies argue that the most satisfying aspect of physicians jobs was helping people and the community recognition they received for it.