Improving systems. Empowering communities.

On June 29, 2020, the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project completed 93 months of operation, providing technical leadership for USAID’s global efforts to strengthen health systems with quality improvement approaches implemented through long- and short-term technical support to 46 USAID-assisted countries. In 29 of these countries, ASSIST fielded long-term staff and established a country office, supporting local health workers to achieve improvements in maternal and newborn care, HIV prevention and treatment, malaria treatment, chronic disease prevention and case management, and Zika prevention and case management. The project provided short-term technical assistance to address diverse health challenges in another 17 countries. 

ASSIST sought to improve health outcomes in USAID-assisted countries by strengthening the delivery and quality of facility- and community-based health and social services, improving the performance of the health workforce, and strengthening community linkages with facility-based care.  The project was implemented from October 2012 to June 2020 through a cooperative agreement awarded by the USAID Office of Health Systems to University Research Co., LLC (URC).

URC partnered with a diverse group of global organizations to implement ASSIST: the American Academy of Pediatrics; EnCompass LLC, FHI 360, Harvard Chan School of Public Health, HEALTHQUAL International, Initiatives Inc., Institute for Healthcare Improvement, Johns Hopkins Center for Communication Programs, WI-HER LLC, and the World Health Organization Service Delivery and Safety Department.

This website will close by September 2020.  Key resources from ASSIST are available through the USAID Development Experience Clearinghouse and at  The project also created a curated collection of 25 quality improvement (QI) resources from the USAID ASSIST Project that capture key learning from our work, available at Video content from ASSIST is available at

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