In South Africa, health facility compliance with national quality standards for health establishments is recognized as a critical component for the successful delivery of health services. With this as a backdrop, a team of pharmacists working in the district, set out to improve compliance with NCS relating to pharmaceutical services at 10 clinics in Ngaka Modiri Molema (NMM), located in northwest South Africa. The project was implemented as part of the Pharmaceutical Leadership Development Program (PLDP) provided by the USAID-funded Systems for Improved Access to Pharmaceuticals and Services Program. The PLDP presents a unique approach to leadership development combining technical pharmaceutical knowledge with sound management practices