Experience in healthcare quality improvement demonstrated that addressing only inputs (e.g., standards, training) without attention to service delivery processes, does not yield strong results. Quality issues involve the continuum of VMMC services: demand creation, counselling and client communications, supply logistics, staff competency, infection prevention, surgical procedure, waste management, referral and linkages to care and treatment, client follow-up, and management of adverse events. CQI is therefore the combined and ongoing efforts of stakeholders in the health system to make changes that lead to better patient outcomes and better system performance, in line with NDoH and WHO guidelines. CQI teams offer a focused commitment to ensuring and improving the quality of VMMC services, essentially supporting all actors involved in providing or overseeing services.