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Child being injected Health centre in Mozambique

Health systems strengthening

We work with national governments to strengthen and build health systems in developing countries. Building health systems involves institutional processes, which are complex, long-term, and inherently indigenous. We always work in close collaboration with national governments so that they own and are responsible for improving their system well into the future.

Community midwife visit in Pakistan

A health system is made up of several components such as health policy and planning, human resources, financing, information, drugs, service delivery and monitoring, and evaluation. This is why strengthening a health system is so complex, needing detailed analysis of the dynamics and constraints in all areas.

We work across the project cycle from design and delivery to monitoring and evaluation. We also work in post-conflict and fragile states, where the health system has to be built or rebuilt from very little.

Aid architecture and program design

We are also proud of our work on aid architecture. We support global-level technical and funding sources and agencies to reassess, coordinate, and streamline the ways in which aid flows through them to countries. We support countries and development agencies to design and shape health systems, strengthen programs, and plan for next steps.

Supporting delivery

We support the delivery of health policies and programs through long- and short-term technical assistance. We focus on building the capacity of health systems through a process of joint analysis, diagnosis, and agreement on ways forward. Our health systems experts work with ministries of health, health sector reform units, and other development agencies or stakeholders.

We jointly identify what might be constraining the performance of a health system and find ways to strengthen it. The solutions might lie in changing structures, management, financing arrangements, human resources, information systems, or how different ministries are connected. We also monitor, review and evaluate health programs against policies and plans.

Adding value

  • Supporting Pakistan to improve the health sector: We manage the UK Department for International Development's Technical Resource Facility, which provides technical assistance to the health sector in Pakistan with a focus on maternal, newborn, and child health. Assignments have included a cost-benefit analysis of mobile health units in the Punjab – the results of which saved the provincial government more than $38 million (2.5 billion rupees).
  • Results based funding for health: Programs based on results-based link incentives, such as cash, to the delivery of an agreed set of results. We evaluated the Health Results Innovation Trusts Fund: the largest global effort to test the application of results-based funding for health.
  • Towards universal health care in South Africa: Through the SARRAH program, we're supporting the South African government as it develops national health insurance policies and pilots: a crucial reform in realizing universal provision of quality health services that is free at the point of use.
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