Health Systems Strengthening

Results for Development works with change agents to strengthen health systems in low- and middle-income countries by conducting analysis and research, identifying problems, supporting planning, policy development and capacity building, and facilitating collaborative learning.

The Challenge

At R4D, we define a health system as people, inputs, institutions, policies and processes, and how they interact to deliver high-quality, affordable health care for all.

Unfortunately, health systems in many countries around the world often have inadequate policies and regulations. They lack efficiency, responsiveness, creativity and sufficient performance accountability measures. These systems are unable to make the most of the resources they have, aren’t flexible enough to meet changes in health needs and health emergencies and fail to attract greater allocations of national resources because of perceived (and often real) low performance.

To the contrary, strong, well-functioning health systems have many benefits. Through primary care and other approaches, a strong health system can provide holistic care that ensures a person’s well-being throughout their life. Strong systems are equitable — delivering health benefits to everyone, especially the most vulnerable. Strong systems are resilient and adaptable, and structured to perform for their patients. And importantly, strong systems don’t depend on outside assistance — they’re self sustaining.

Our Approach

R4D focuses on the key elements of strong health systems, from sustainable financing to scaling innovations, to using data for decision-making, and works with change agents to support the development of context-specific, evidence-based solutions.


Photo: Swasth Health Clinic ©Center for Health Market Innovations/R4D

Global & Regional Initiatives

R4D is a globally recognized leader for designing initiatives that connect implementers, experts and funders across countries to build knowledge and get that knowledge into practice.