**Abstract**

This chapter aims to discuss the importance of quality assurance in public rural healthcare facilities. In developing countries, there is a massive problem regarding poor health services. Inadequate resources, coupled with the waning of the Ubuntu philosophy in public rural healthcare facilities, led to a lot of complaints and litigations. However, improved healthcare quality can lead to fewer errors, shorter waiting times, higher efficiency, increased market share, and cheaper costs. Besides, Ubuntu as a reflection of a person's willingness to share, to give generously, to care, and to be full of compassion enhances quality assurance. A positive work environment and staff's positive attitude when providing quality care are effective approaches that augment patient satisfaction. The importance of providing quality patient care is nonnegotiable in all healthcare facilities. Quality assurance and quality control using the fundamental standards in place are the responsibility of leadership management. The art of leadership and the organizational culture determine and strengthen quality in healthcare facilities. Therefore, the chapter covers the significance of compliance in service standards applications to uphold quality assurance. Furthermore, the chapter addresses the assessment of staff capabilities, describes healthcare needs, resources, and maintenance approaches, explores strategies for Ubuntu restoration, identifies challenges, barriers, and poor services, and recommends improvement interventions. A literature review or desktop approach was used.

**Keywords:** healthcare facility, public health, rural healthcare, quality, quality of care, quality assurance
