Providing quality equitable care to the public in a context of limited resources remains a major challenge. The Democratic Republic of Congo (DRC) has about 80 million people and access to quality healthcare is very limited, and the cost of an episode of illness can be exorbitant. As a consequence, many hospitals are forced to reduce services, which impacts on the quality of care, and this is not well documented . Quality of care is directly linked with patient’s expectations as it is the internal standard of patients to rank the quality of service that is delivered. Therefore attempts to measure and evaluate the quality of care in health care settings are opportune. In fact, to encourage policymakers to establish an effective program for improving the quality of health services, we need to understand the effect of the quality of each component on demand for healthcare. However, in order to understand the specific role of each component, an instrument is needed to gauge patients' perceptions of it, and these are central in assessment of service quality in the health sector . Our main aim has been to design such an instrument that is available to the community; its development can be very expensive and time consuming undertaking. In the absence of a new measuring tool, one can adapt existing ones, modifying them to be adjusted for different cultural settings.