Evidence-based Health Systems Strengthening

This essay by Dr. James R. Heiby of the United States Agency for International Development (USAID) provides a compelling case for making process improvement an integral part of service delivery, describing how improvement approaches can serve as an engine for health systems strengthening. The essay was written as part of a contest within USAID to engage with innovative and experienced thought leaders and practitioners from around the world to stimulate debate around key development challenges and opportunities. 
This larger conversation, called Frontiers in Development, is designed to encourage forward-looking, provocative discussion and debate and to strengthen the analysis, design, and implementation of development programs supported by USAID, to expand the Agency’s learning and increase its effectiveness.
We have changed our conception of what it means to work in development, and we have changed how we define our objectives to better navigate in this environment. But these are only the first steps. We must keep working together and holding each other to account until we achieve our goals. If we succeed, millions of people around the world will have the opportunity to build more stable and more prosperous lives for their families. That’s a future worth braving any and every new frontier.
—U.S. Secretary of State Hillary Rodham Clinton
Report Author(s): 
James R. Heiby
ASSIST publication: 
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