Health Systems Strengthening

Service Delivery

Increasing people’s access to and use of priority health services, such as reproductive health care, is a fundamental goal of health systems strengthening. Abt Associates combines multifaceted expertise, practical experience, and innovative models to strengthen the delivery of priority health services to people all over the developing world, particularly to vulnerable populations, including women and children. 
We work with governments, non-governmental organizations, faith-based organizations, and community groups to identify and address constraints to service delivery in the public and private sectors. We build in-country capacity to improve maternal, neonatal, and child health, family planning/reproductive health services. We strengthen interventions that combat HIV, tuberculosis, malaria, and emerging infectious diseases, and address chronic and non-communicable diseases. Our experts  address constraints affecting different components of health systems, including:
  • Supervision, monitoring and accountability;
  • Planning, management and human resource issues;
  • Resource distribution, financing, and pharmaceutical supply;
  • Information sharing, coordination, and referral systems; and
  • Community engagement and mobilization.
Our work includes:
  • Developing evidence-based clinical guidelines and standards;
  • Providing pre-service and in-service clinical training;
  • Conducting quality assurance and performance improvement;
  • Appling behavior change communication to improve provider counseling skills and increase patient demand for services; and
  • Engaging private sector providers to improve health outcomes.


Abt Associates’ health systems strengthening approach and experience engaging the private sector ensure that improvements in access to and delivery of quality health care services are sustainable and institutionalized in the long term.


NIGERIA: How can innovative thinking lower maternal death rates in conflict zones?


Half of all Nigerians live in rural areas, with limited access to health care. Thousands of deaths from obstetric complications each year are blamed on lack of transportation, which is further complicated by ongoing conflict. The Emergency Transport Scheme (ETS), led by Abt Associates, is working to improve emergency obstetric care in many of the highest conflict zones by training taxi drivers to provide volunteer emergency transportation. Since its launch in 2012, Abt has recruited and schooled nearly 900 taxi drivers on basic emergency procedures, and more than 4,600 women have utilized the ETS. Based on the success of the program in saving women’s lives, the governors of Kaduna and Kano hope to roll it out throughout their states.
CLIENT: DFID / PROJECT: Partnership for Transforming Health Systems II (PATHS2) Emergency Transport Scheme (ETS)

Videos Show Abt’s Health Systems Impact Globally
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