high quality of CHWs ( Raghavan and Kelley, 2018 ). As a result, the number of folks accessing care has increased, with multiple counties reporting will increase in children receiving therapy for such conditions as malaria and pneumonia ( Luckow et al., 2017 ; White et al., 2018 , in press ). At the same time, Liberia applied a particular concentrate on high quality through a nationwide performance administration system, which makes use of such metrics as well timed funds to CHWs, provide restocking, quality of clinical supervision, and competency of CHWs ( Raghavan and Kelley, 2018 ). The goal is to enhance the accountability and flexibility of CHWs. Girls in Tanzania receiving treatment for prevention of mother to baby transmission reported three particular elements that decreased the quality of their well being care expertise, two of which had been arguably associated to communication issues: a go to time exceeding 2 hours, perception of poor communication abilities by well being care employees, and a lack of knowledge of patient issues ( Naburi et al., 2016 ). Significant maltreatment in maternal care was additionally reported in Ghana and Nigeria ( Izugbara and Wekesah, 2018 ; Moyer et al., 2014 ). Interpersonal relationships with health care workers and sufferers was cited as a precedence by all patients, with exit interviews sometimes attributing provider friendliness and time spent with the patient as a most important factor in the quality of the care experience.