Governance

Institutional Effectiveness


Abt staff train health sector internal auditors in Tanzania as part of the USAID-funded Tanzania AIDSTAR2 (Wajibika) project.
State institutions play an essential role in ensuring broad, equal access to essential public services: health, education, dispute resolution and rights protection, infrastructure, water and sanitation, and others. This especially is true for vulnerable populations.
 
Abt’s extensive experience in health system governance gives us a unique perspective on public sector management. For example, our team excels at applying a political economy lens to administrative bottlenecks to identify constructive methods – such as payroll and human resourcing – for improving service delivery.
 
In Tanzania, for example, we are assisting the government to build a strong and sustainable public sector able to manage and deliver quality services to all its citizens, especially for health, education, agriculture, rural roads and water and sanitation. Abt-led interventions under the five-year, USAID-funded Public Sector Strengthening (PS3) project are expanding government transparency and stepping up citizens’ influence over how local budgets and services are planned and monitored. We are also training newly elected council members across 13 target regions to boost local governments’ use of data in decision making and develop detailed plans for greater citizen engagement.
 
Abt also leads the Health Finance and Governance project, USAID’s global flagship health systems strengthening project, which supports countries as they improve their health system governance. The project, which works in more than 20 countries, addresses a breadth of health governance issues at both national and local levels including:
  • Improving transparency and accountability by assisting governments to better collaborate with civil society and private sector organizations;
  • Constructing health accounts to improve policy decisionmaking, transparency, and accountability;
  • Providing technical assistance to improve public financial management within health institutions; and
  • Building capacity within civil society organizations and the private sector so that they can better contribute towards the development of health policies, implementation of health reforms, and monitoring health system performance.