Abstract Background Continuous Quality Improvement (CQI) programs have been taken up widely by Indigenous primary health care (PHC) services in Australia and there has been national policy commitment to support this. However. international evidence shows that implementing CQI is challenging. impacts are variable and little is known about the factors that impede or enhance effectiveness. https://www.spidertattooz.com/Clase-Azul-Tequila-Reposado-1-75L/