What We Do

Consumers, providers, and health officials face multiple challenges that need to be addressed to improve health and save lives. Health Systems 20/20 addresses these challenges by working on the health systems strengthening elements below with a particular focus on the priority health issues: HIV/AIDS, tuberculosis, malaria, maternal and child health, and reproductive health.

Capacity Building

Health Systems 20/20 takes a comprehensive view of capacity-building that includes developing competency in the core areas of organizational development, resource mobilization, technical assistance and training, organizational governance, management systems, and technical expertise.

Costing and Sustainability Planning

Health Systems 20/20 uses the HIV/AIDS Sustainability Analysis Tool assessment and other costing tools, provide governments with realistic cost estimates for implementing strategic plans.

Governance

A variety of problems that confront health systems relate to governance. The Health Systems 20/20 approach tackles both the demand (work with citizens and oversight entities inside and outside of government to enhance capacity to exercise voice) and the supply-side (strengthening the MOH and other health sector actors).

Health Insurance

Health Systems 2020’s strategy for health insurance is to move countries along a transparent and responsible path towards universal health insurance coverage/financial risk protection in a sustainable manner.

Human Resources for Health

Health Systems 20/20 conducts interventions in the areas of health care worker retention, productivity-improvement, incentives including pay-for-performance, human resource information systems, and workforce planning as part of a larger program of health systems strengthening.

Measuring Health Systems Performance

The Health Systems 20/20 strategy for measuring health systems performance is to provide and maximize the use of a set of innovative tools to measure performance in a standardized fashion.

Performance-based Incentives

PBI provides incentives to service providers by linking payment to verified performance. Health Systems 20/20 provides global leadership that stimulates donors, technical assistance providers, and country policy leaders to support PBI approaches.

Resource Tracking

The National Health Accounts (NHA) tool is used to measure total public and private national health expenditures and allows planners and policymakers to better analyze and understand their country’s health financing system and make comparisons with the experiences of other nations. Health Systems 20/20 seeks to institutionalize NHA as a routine and normal function of government.

HIV/AIDS

Health Systems 20/20 is working at the country level to conduct comprehensive analysis of available and required human resources to scale up and sustain HIV/AIDS services and to facilitate solutions to address human resource shortages.

Maternal and Child Health

To increase access and use of maternal and child health services, Health Systems 20/20 contributes to a variety of interventions with other partners.

Family Planning and Reproductive Health

Health Systems 20/20 supports effective family planning and reproductive health programs by assisting countries to improve policies and regulations, human resource capabilities, and health information systems, as well as increase financing options.

Malaria

Health System 20/20 is conducting a comprehensive study to investigate and address a series of user fee related policy questions in order to inform policymakers on the effects of user fees on providing and utilizing ACT treatment, particularly for children under five years of age in multiple countries.

Tuberculosis

Health Systems 20/20 is working at the country level to help countries strengthen their health systems to meet the challenges of delivering TB related services.