**1. Introduction**

This chapter aims to explain the importance of quality assurance in public rural healthcare facilities. By closely observing each step of the delivery or production process, quality assurance (QA) maintains the required standard of quality for a service or product [1]. Hence, in this study, quality assurance means providing quality patient care in a comprehensive manner, using available resources in place, and complying with the nursing norms and standards set. It involves administrative and procedural activities to achieve requirements and goals, ensuring systematic measurement, comparison with standards, and monitoring processes for error

prevention. However, healthcare facilities are faced with several quality challenges such as underuse, overuse, preventable mistakes, differences in services, a lack of resources, inadequate diagnosis and treatment, inefficient resource usage, inadequate information, referral systems, disrespect for human dignity, a lack of drugs, poorly maintained records, and poor delivery systems.

All these mentioned challenges lead to various lawsuits that healthcare facilities are faced with. Hence, the author is interested in the importance of QA in public rural healthcare facilities. The objectives of the chapter are outlined below.
