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Health System Assessment Approach:
A How-to Manual Version 2.0

Open publication - Free publishing - More hs 2020


Setting the Stage for Health Systems Strengthening:  What We Have Learned from Doing Over 30 Health Systems Assessments 

The HSA approach is an innovative tool designed to provide a rapid yet comprehensive assessment of a country’s health system. With experience in conducting HSAs in Asia, Africa, and the Caribbean, presenters will highlight how HSA results are being used to strengthen health systems.

The Health Systems Assessment Approach: A How-To Manual was developed by Health Systems 20/20, Partners for Health Reformplus (PHRplus), Rational Pharmaceutical Management Plus (RPM Plus), and the Quality Assurance Project (QAP). The tool is designed to provide a rapid yet comprehensive assessment of a country's health system.

The approach covers key health systems functions and is organized around WHO’s six health system building blocks: governance; health financing; health service delivery; human resources; medical products, vaccines, and technologies; and health information systems. For more information, read the HSA brief.

Version 2.0 of Manual



Version 2.0 of Manual by Chapter


Front Cover

Front Matter

Section 1. Introduction to the Health System Assessment Approach and Manual

These modules describe the technical grounding and methodological approach of the health system assessment. They also provide information on the content and use of this manual.

Section 2. Conducting the Assessment

These five modules describe a five-step process of conducting a health system assessment.

Section 3. Guidance on Assessing Health System Building Blocks

The modules in this section describe the indicators that can be used to assess each of the health system building blocks. The section also includes country stories and templates. The modules in Section 3 can be downloaded separately or in a single file.



Annex 1: Section 1 Supplemental Materials

Annex 2: Section 2 Supplemental Materials

Annex 3: Section 3 Supplemental Materials

Annex 4: Bibliography


Additional Guidance

Engaging Stakeholders in Health Systems Assessments: A Guide for HSA Teams


Download HSA Country Reports


Pending Approval

  • Benin
  • Ethiopia




Author: Health Systems 20/20
Published: Sep 1 2012