The Max Salud Institute for High Quality Health Care was founded in 1994 as part of the Strengthening Health Institutions Project/Northern Component, funded by the United States Agency for International Development (USAID) and implemented
by University Research Co., LLC (URC) and Clapp & Mayne. Max Salud is located in Chiclayo, a coastal province in Peru. Max Salud decided to undertake the study after recognizing the connection between satisfying clients and financial sustainability.
The Max Salud Management Support Unit (MSU), comprised of directors, advisors, and administrative staff, provided technical and logistical assistance for the operation of the clinics. Quality committees were part of the organizational structure of Max Salud, both at the central and clinic level. The MSU quality committee included the project director, executive director, medical services director, clinic operations director, director of finance and administration, logistics and supplies director, and the training and IEC (information, education, and communication) advisor. Quality committees at each clinic included the clinic director, a doctor, a nurse, a certified midwife, an administrative assistant, and a social worker. The purpose of the committees, which met monthly, was to monitor, sustain, and improve the quality of Max Salud healthcare services.