The stark white room is echoing with dreams. "I want to become a doctor... I am engineer... I want to become a nun... (this evokes a riot of laughter) I want to become a dress designer... My dream is to become a social worker ....

The notion of quality in the public health system is becoming increasingly an issue for policymakers and planners in India. The Eighth Five-Year Plan identified the poor quality of family welfare services as one of the factors