Welcome to Health Systems 20/20, USAID’s global health project working to strengthen health systems by using an integrated approach to address the financing, governance, operational, and capacity constraints to the use of life-saving priority health services. Read more in the project brief.
The Health Systems 20/20 project is a Leader With Associates cooperative agreement for 2006–2011 through USAID’s Health Systems Division within the Global Health Bureau.

Health Systems 20/20's Dr. Gilbert Kombe Discusses HIV/AIDS Systems on BBC
Health Systems 20/20 HIV/AIDS technical team leader Dr. Gilbert Kombe was recently interviewed by the World Today while attending the 2008 International AIDS Conference in Mexico City. The BBC’s award-winning international news and current affairs program reaches millions of listeners around the world. To listen to the audio clip of Dr. Kombe’s interview, please follow the link provided below.
More...New Brief!
Decentralization and Governance
With almost all countries developing or implementing some form of decentralization, health initiatives targeting control of specific diseases, as well as projects that work on broader health systems restructuring, will be influenced by these decentralization efforts.
More...New Tool!
Guidelines for Assessing the Management and Organizational Capacity of National Malaria Control Programs
Malaria control programs throughout Africa, including the 15 focus countries of the President’s Malaria Initiative (PMI), have seen a tremendous increase in funding and activities over the past few years.
More...New Publication!
National Health Accounts, Rwanda 2006: With HIV/AIDS, Malaria, and Reproductive Health Subaccounts
Rwanda, a small country in the sub-Saharan Africa region and one of the poorest countries in the world, is nevertheless a leader in doing National Health Accounts (NHA) estimations. The full report that accompanies this executive summary describes Rwanda’s fifth general NHA estimation (1998, 2000, 2002, 2003, 2006).
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