Objectives: The purpose of this article is to discuss the concept of performance measurement in primary health care through a framework called "Quality Contest (QC)." QC is used as a management tool and was implemented from 2007 to improve the quality of the Moroccan health care. The QC encompasses self-assessment, audit, feedback, and the development of improvement plan. Methodology: The audit peer listed 42 primary health care centers between 2010 and 2014 in four editions. The framework is a self-assessment guide which is made up of 42 items divided into 6 Domains. It was filled by the team of primary health center and a scoring guide for auditors including the expectation horizons. Results: This approach is one recommended in this process (CQ). Performance is evaluated according to the dimensions of the conceptual framework based on the stages of the Deming Cycle (Plan, Do, check, and improve). The overall average performance is 42 % with a minimum score of
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