The ISQua conference, held in Istanbul this year, brought many different health professionals from all across the globe to discuss the latest initiatives, trends and research in the field of quality improvement, standards and accreditation. There was a substantial contingent from Africa this year including the presence of COHSASA CEO, Jacqui Stewart who received the Lifetime Membership Award from the ISQua board – an honour given to few and in recognition of her great contribution in the world of QI and accreditation.