Welcome to Health Systems 20/20, USAID’s global health project working to strengthen health systems by using an integrated approach to address the financing, governance, operational, and capacity constraints to the use of life-saving priority health services. Read more in the project brief.
The Health Systems 20/20 project is a Leader With Associates cooperative agreement for 2006–2011 through USAID’s Health Systems Division within the Global Health Bureau.
New USAID Publication on Using Performance-based Incentives to Improve Health Service Delivery and Health Outcomes
Performance-based incentives (PBI), a strategy that links payment to results achieved, is a potentially powerful catalyst to strengthen health systems and achieve health targets. PBI contributes to an enhanced focus on results-oriented health systems strengthening activities and the objectives of demand creation, quality improvement, and making providers more accountable.
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Minister of Health Launches NHA Work in Egypt
His Excellency (HE), the Minister of Health, Prof. Dr. Hatem El Gabaly, defined NHA as a key tool in improving the effectiveness of health systems to achieve Egypt’s health reform objectives in opening a two-day NHA workshop in Cairo March 31-April 1.
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Building a New Generation of Leaders in Egypt
Leadership and management training is an essential ingredient in any strategy aimed at bringing about organizational change to strengthen health services. Health Systems 20/20, in collaboration with the Egyptian Ministry of Health (MOH), recently announced plans to establish a “Leadership Academy” as a sustainable Egyptian institution to build management capacities within the public health care system. Leading MOH officials and health experts gathered in Cairo in January for an orientation session to launch plans for the Academy.
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Health Systems 20/20 launches National Health Accounts policy impact database
Health Systems 20/20 launches National Health Accounts database, a platform for sharing policy impact stories from around the globe. Add your own policy impact story and win a trip to the 2009 NHA Symposium.
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From Health Labor Market Analysis to Result-Based Financing: Insights from a Post-Conflict Country, Cote d'Ivoire
As in most African countries, Cote d’Ivoire is facing a crisis in human resources for health (HRH) worsened by a high HIV-AIDS prevalence (4.7%) and a civil war from 2002 to 2007. Many health workers have fled from the northern regions to seek refuge in the capital city, Abidjan. At a World Bank event on January 14, 2009, Gilbert Kombe shared insights from Health Systems 20/20 work to develop innovative and sustainable interventions to address the health labor crisis.
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New Policy Brief!
From Humanitarian and Post-conflict Assistance to Health System Strengthening in Fragile States
Why Strengthening Health Systems Matters

USAID's flagship health systems strengthening project, Health Systems 20/20, was invited to share their experience with the Office of the U.S. Global AIDS Coordinator (OGAC) related to building health systems at the country level.
More...Asia Performance Based Financing (PBF) Workshop, January 19-23, 2008, Gujarat, India
Sponsored by USAID, AUSAID, the Center for Global Development, Norad and the World Bank, this regional workshop welcomes 16 teams of three “stakeholders” from countries in Asia to learn about the Pay for Performance (P4P) approach to health system strengthening.
More...Ann Lion Coleman Joins Abt Associates to Direct USAID Health Systems 20/20 Project
August 4, 2008 — The USAID-funded Health Systems 20/20 project is pleased to announce that HIV/AIDS and health systems expert Ann Lion Coleman has assumed the position of Health Systems 20/20 Project Director, effective today. Health Systems 20/20 is the USAID Bureau of Global Health's flagship project working to strengthen health systems by using an integrated approach to address the financing, governance, operational, and capacity constraints to further the use of life-saving priority health services. The project is implemented by a consortium of partners led by Abt Associates Inc.
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Article on Impact of Mutual Health Organizations in West Africa Published in Health Policy and Planning
Health Systems 20/20 Workshops at the Global Health Council Conference Tuesday, May, 27
Health Systems 20/20 invites you to attend two workshops at the Global Health Council Conference on Tuesday, May, 27, 2008.
- Planning for Sustainable HIV/AIDS Services Using HAPSAT Software: A Hands-On Training
(W4) 9:00 am - 12:00 pm
Congressional Room B, Omni Shoreham Hotel, Washington, DC -
Demystifying Health Systems: How to Access the Strengths and Weaknesses of a Health Care System
(W7) 2:00 pm - 5:00 pm
Congressional Room B, Omni Shoreham Hotel, Washington, DC

Representatives from 13 Countries Meet to Reinvigorate the LAC Regional NHA Network

Health Systems 20/20 Launches NHA in Liberia
Working directly with the Ministry of Health and Social Welfare, Health Systems 20/20 has successfully launched National Health Accounts (NHA) in Liberia. NHA is a tool being used today in more than 50 low- and middle-income countries to measure total public and private national health expenditures. Click here to read more about our work in Liberia.
More...Helping Women Empower Women: Marking International Women's Day - March 8, 2008
International Women's Day is March 8, 2008. To celebrate, Health Systems 20/20 is highlighting two projects in Yemen that showcase the efforts of women to improve health locally and nationally.
More...Joint Pilot Program in Rwanda: Demonstrating the Potential of Mutuelles to Improve Child Health
New Policy Brief!
Health Governance: Concepts, Experience, and Programming Options
A new policy brief issued by Health Systems 20/20 on the threat that weak governance poses to the allocation of health resources in the developing world.
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