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In Namibia, most health care facilities have not been yielding good results in response to patients' health care needs. Health care systems are becoming more complex with paradoxical challenges resulting into inefficiencies due to ever increasing science and knowledge in medicine, which makes it difficult to internalise and understand, as well as to implement certain procedures. The study explored and found that research indicates that total quality management (TQM) and continual qualitydoi:10.4236/oalib.1106945 fatcat:hewfdc4kzjeslh6rceuxf7vsqe