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BACK GROUND: Quality systems can help to manage change while maintaining a high quality of care. A new model of quality systems inspired by the works of Donabedian has three factors: structural quality (resources and administration), process (culture and professional co-operation), and outcome (competence development and goal achievement). The objectives of this study were to determine the capacity s of primary health care in Ahoada west local government area to render quality health care services.MATERIALS AND METHODS: The instrument for the study was a structural quality protested questionnaire on facilities and equipment's as predictors of effective health care delivery service and checklist of items on infrastructural quality and equipment.RESULTS: primary health care facilities (12.9%) were functional providing essential services - out- patient, immunization, counseling/health promotion. outreach. Water and sanitation, essential drug list, have efficient record maintenance system, family planning, antenatal, infant welfare, delivery. These signified that equipment and human resources were statistically significant and predict effective health care delivery service.