**6. Conclusion**

Quality assurance (QA) is crucial in public rural healthcare facilities to ensure patient care quality and compliance with nursing norms and standards. QA involves administrative activities, measurement, comparison, and error prevention. Healthcare facilities face challenges such as under-use, overuse, errors, service variation, resource scarcity, inadequate diagnosis, treatment, and poor information. Poorly resourced facilities, especially in developing countries, compromise quality care. Capacity building and early interventions are needed to address these issues and improve quality of patient care.

#### **Acknowledgements**

The author of this paper sincerely acknowledges the support of my colleagues to encourage me to write the chapter. No funding.
