For USAID Missions

Health Systems 20/20 is the Bureau of Global Health’s principal project for health system strengthening. All USAID operating units – elements, missions, and bureaus – can access Health Systems 20/20 by obligating funds to cooperative agreement No. GHS-A-00-06-00010-00. Health Systems 20/20 has a ceiling of $125 million and it is expected that 80% of all funding received will be field support funds. The project can respond to Missions on demand and accepts all types of USAID funding, including PEPFAR, POP, CS, EFS, PMI as well as funds through EGAT and D&G. USAID Missions and Regional Bureaus can program funds for Health Systems 20/20 through traditional buy-ins of field support and MAARD’s to the Health Systems 20/20 Leader with Associate Cooperative Agreement mechanism. Missions and Bureaus can also negotiate and manage separate Associate Awards for which they will designate a CTO.