This book discusses the perception of clients/patients on quality of Health Care services and examines the issues affecting Quality of Care in our hospitals that led to a steady decline of patients' attendances to the hospital between 1998 -2000, after the introduction of TQM in 1998. It also reflected on the situation prior to the introduction of Total Quality Management (TQM) between 1995 and 1997. The study considers the possible solutions to improve the quality of care that clients would be satisfied and patronize the hospital again, by this; it was recommended that; the hospital authorities should always make drugs and other services available and affordable to clients. The high cost of other services should also be reduced such that the poor and vulnerable can afford as well as patronize the hospital. The author intended this book to be read and used by all professionals both in management and Health Services administration and every field as well as corporate organizations that may want to assess the views of their clients on the services they render to them.