This cross-sectional study using the interview technique. It ran from a questionnaire on the operational side of the organization of the quality of care in health facilities. On the pan of the sample, this study has identified nine health facilities corresponding to the three levels of the health pyramid. The structures were stratified by type of institution (CHU, CMC, CS), a draw was able to identify the structures corresponding to the sample to be studied. This is a sample having a size of 88 subjects distributed among the strata according to their size represented by the staff working in administrative services and maternity health facilities drawn.