Abstract

Background: Good Knowledge and attitude of the worker toward TQM are essential to achieve a high level of TQM, 
Objectives: to study the knowledge and attitudes of employees in the Iraqi Ministry of Health regarding Total quality management
find the association between the knowledge and attitudes of employees in the Iraqi Ministry of Health regarding Quality Management with some demographic & work variables.
Method & subjects: An online survey was conducted from 9 May to 31 June 2024, collecting answers to an online questionnaire from employees working in IMOH, with a response rate of 9.94%. 
Results: 2992 - IMOH employees enrolled in this study, the highest percentage Aged 30- 39 years 1073(35.9%) with Mean & SD 34±2.88, females 1666(55.7%), currently married 2171(72.6%), complete College 2412(80.6%), Working in General PHC 803(26.8%). Paramedical-staff 1143(38.2%), good overall-knowledge in 1846(61.7%), 1560(52.1%) had high overall-attitude. Only 637(21.3%) had TQM training courses. System failure or administrative mistakes 1048(35%), followed by financial instrument and material availability 868(29%), followed by lack of knowledge 516(17.5%), Corruption 355(11.9%), TMQ low attitude and Mis-Coordination 328(11%), both participants’ overall-knowledge and overall-attitude had highly-significant association with their age, sex, marital status, institution type, AND TQM obstacles, but not with educational level, or with job description. 
Conclusion: Participants’ Knowledge and attitude towards TQM were moderate to good. A larger number of participants thought that there are many obstacles facing quality implementation in health care institutions, such the financial instruments and material availability, that can affect TQM implementation.