• The implementation strategy was successful for the introduction of the quality system (QS) in the institutes. |
• Creating a sense of togetherness and peer pressure can stimulate the use of the QS. |
• In addition to directors and quality coordinators, staff also needs to be involved in the development and implementation of a QS. |
• The appropriateness and benefits of the QS to local contexts needs to be clear. |
• The relative absence of short-term effects should be communicated clearly. |