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-Causes of child death were identified; strategies and policies were put in place to help minimize child death. The challenge is that the service quality is being ignored which is leading to more child deaths. . The research sought to address the gap caused by lack of quality service in Prevention of Mother to Child Transmission ( PMTCT). The study survey was restricted to 14 health institutions in Chikomba District. The health institutions have 217 staff who could participate. According to PMTCT Service statistics 3 rd quarter 2012 for Chikomba District the beneficiaries totaled 1185. Four Chiefs in the District and two relevant stakeholders District Aids Coordinator (DAAC) Focal Officer and PMTCT Coordinator Elizabeth Glaser Pediatric Aids Foundation (EGPAF) were also part of the target population. All these added would give a total target population of 1407. The sample size comprised of 98(45%) participants from the 14 health institutions, 532 beneficiaries , 2 stakeholders and 4 Chiefs . 28 questionnaires were distributed to management, 70 to employees and 2 to (DAAC) and ( EGPAF) representatives. Focus group discussions were carried out on 532 beneficiaries and 4 community leadership. Interviews were done with 14 senior manager, 4 community leaders and 2 stakeholder representatives. We found out that there are eight practices that support total quality management (TQM) positively; these are top-management commitment, teamwork and participation, process management, customer focus and satisfaction, resource management, organization behavior and culture, continuous improvement, and training. In conclusion we found out that for successful TQM implementation employee involvement, senior management commitment, training and also taking into account the needs of external and internal customers is very important. There is need to carry out further research on this area so that relevant frameworks are built.

“The Effectiveness’ of Total Quality Management In Service Quality of Ministry of Health and Child Care”