India is a large nation with a diverse range of health problems. From very beginning it has been a challenge to serve such a huge burden of population. Earlier the focus of the health system was target oriented; i.e. attention was given only to achieve the numbers. We were so much driven by the quantity of the health services, that quality of the services got compromised somewhere. But in recent past there has been a paradigm shift in health care services. The quality of services is also being looked at and considered adequately. With the initiatives like Kayakalp and LaQshya, the health system is on right path. Similar programs are also needed in near future to address quality assurance in other subsets of health system.