Strengthening Health Systems Worldwide
In launching the Health Systems 20/20 project, USAID recognized that “Only as we solve systemic challenges can USAID fulfill its mission of saving lives….” Through Health Systems 20/20, USAID complemented its disease- and service-focused investments with technical assistance, capacity building, and global leadership in financing, governance, and operations. As a demand-driven project, Health Systems 20/20 (2006-2012), responded to more than 250 activity requests in 51 countries leveraging more than $7.8 million in non-U.S. government funding. The project helped to eliminate barriers to the delivery and use of priority health care, including HIV and AIDS services, tuberculosis treatment, reproductive health services, and maternal and child health care. Working with USAID and country stakeholders, the project designed programs tailored to meet country-specific challenges and health priorities. Health Systems 20/20 institutionalized tools such as National Health Accounts, the Health Systems Assessment Approach, and the HIV/AIDS Program Sustainability Analysis Tool, and specific costing methodologies, to generate the evidence needed to improve individual health systems. From the outset, Health Systems 20/20 recognized that applying a one-size-fits-all approach in partner countries would not work. The project looked at each country individually, applying the appropriate tools and strategies to clarify constraints and bring solutions into focus.