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Health Systems Integration

Health Systems 20/20, a five-year (2006-2011) cooperative agreement funded by the U.S. Agency for International Development (USAID), offers USAID supported countries help in solving problems in health governance, finance, operations, and capacity building. By working on these dimensions of strengthening health systems, the project will help people in developing countries gain access to and use priority population, health, and nutrition (PHN) services. Health Systems 20/20 integrates health financing with governance and operations initiatives. This integrated approach focuses on building capacity for long-term sustainability of system strengthening efforts. The project acts through global leadership, technical assistance, brokering and grant making, research, professional networking, and information dissemination.

Why Health Systems

The delivery of all health services, including the priority PHN services, depends on the underlying health system. To combat malaria, TB, HIV, and maternal and child health problems, the health system needs adequate and appropriately allocated financing, inclusive decision making and accountability, and financial and human resource management systems that deliver inputs when and where needed. A smoothly functioning health system maximizes the delivery of effective and life-saving technical interventions.

Seeing the Health System More Clearly

An exclusive focus on technical health interventions sometimes leads to fixes, patches, and “work-arounds” on health systems issues in order to deliver chosen interventions within a certain timeframe. A more holistic view of the health system allows the underpinnings of all services to be improved, and for the improvements to be made in a way that makes them more sustainable. Health Systems 20/20 takes the holistic approach to the health system by addressing its weaknesses comprehensively—attending to the technical areas of financing, governance, and operations while building sustainable capacity for addressing system issues.

New Policy Brief!
From Humanitarian and Post-conflict Assistance to Health System Strengthening in Fragile States

Dec 10 2008
A new policy brief issued by Health Systems 20/20 on clarifying the transition and the role of NGOs on humanitarian and post-conflict assistance to fragile states. More...

Why Strengthening Health Systems Matters

Oct 10 2008
Gilbert Kombe, Health Systems 20/20 HIV/AIDS Senior Technical Advisor

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.

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Jul 11 2008
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Health Systems 20/20 Workshops at the Global Health Council Conference Tuesday, May, 27

May 20 2008
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
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From the Evil Eye to Handwashing: Volunteers Improving Health in Yemeni Villages

Feb 22 2008

In a country where 70% of women are illiterate and culturally bound to the home, health information is passed from older females to younger ones, and ideas such as the “evil eye” as the cause of most illnesses is generally accepted. Still, women are eager to learn how to improve the health of their families and communities.

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