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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.


Download Integration of Financing, Governance,Operations, and Capacity Building for Strengthening Health Systems.

Download Taking an Integrated Approach to National Health Accounts.

Health Systems Database Brief

Apr 9 2009, Health Systems 20/20
Project: Health Systems 20/20
Type: Brief

Health Systems 20/20 Year 2 Annual Report

Dec 31 2008, Health Systems 20/20
Project: Health Systems 20/20
Type: Report

Toolkit for Using Round 9 of the Global Fund for Health Systems Strengthening

Oct 24 2008, Health Systems 20/20 and the Health Workforce Advocacy Initiative
Project: Health Systems 20/20
Type: Tool

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Health Systems 20/20 Launches National Health Accounts Policy Impact Database

Mar 24 2009

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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Health Systems 20/20 Releases Year 2 Annual Report

Dec 31 2008

Read about project activities in Year 2 to increase the use of priority population, health, and nutrition services, especially by the disadvantaged through improvements in health financing, governance, operations, and capacity building.

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Health Systems 20/20 Work Contributes to Policy Reform in Namibia

Nov 25 2008
Health Systems 20/20 Work Contributes to Policy Reform in Namibia

African leaders meeting in Abuja, Nigeria, in April 2001, signed a declaration mandating that health budgets should constitute a minimum of 15% of national budgets. The Namibian Minister of Health, Dr. Richard Kamwi, recently informed participants at a Health Sector Stakeholders meeting about Namibia's progress in meeting this goal. The meeting was held on October 29, 2008, in Namibia.

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New Toolkit!
Using Round 9 of the Global Fund for Health Systems Strengthening

Oct 27 2008

Health Systems 20/20 and the Health Workforce Advocacy Initiative have teamed up to develop a toolkit of materials to help Global Fund applicants better understand how they can use Round 9 of the Global Fund to strengthen their countries’ health systems as well as what resources are available to support them in doing so.

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Why Strengthening Health Systems Matters

Oct 21 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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