Health systems in low-income countries often face challenges in the delivery of essential health services due to limited resources, lack of trained providers, and other factors.

At GHS, we study the performance of health systems and the potential for new models of care delivery to improve the quality, equity and cost-effectiveness of health care at all levels. We also provide training and technical assistance to improve the quality of care and to grow the capacity for local healthcare education, research and clinical care.Our projects include:

Projects

Strengthening People-centered Accessibility, Respect, and Quality

The Strengthening People-centered Accessibility, Respect, and Quality (SPARQ) project is designed to improve the quality of maternal and reproductive health care for women in India and Kenya by identifying strategies that can be replicated and scaled up in local contexts and then generalized to larger locales.

African Health Markets for Equity (AHME)

AHME aims to improve both the supply and demand for private healthcare among the poor populations in Kenya and Ghana. Supply-side interventions at the clinical level aim to ensure high quality of care, while demand-side interventions at higher levels of the health system aim to reduce barriers to accessing high-quality care. Our researchers are leading a qualitative evaluation of AHME in both countries over a four-year period in partnership with Innovations for Poverty Action. The qualitative evaluation explores provider and client attitudes towards quality of health and options for care, and describes the AHME operation processes and their effects on the overall markets and institutional environments in which they function. 

Medical Education Partnership Initiative (MEPI)

We serve as a policy advisor and technical resource for moving this PEPFAR-funded project to its next level. MEPI aims to advance PEPFAR's goal of increasing the number of new health care workers by 140,000; strengthen in-country medical education systems; and build clinical and research capacity in sub-Saharan Africa as part of a strategy to retain faculty of medical schools and clinical professors.

Data Quality Improvement

Through our Informatics Hub and other projects, we work with in-country partners to improve data collection, design and develop health information systems, and design and implement electronic medical records. These activities provide important information to district and national health ministries to improve health systems.

Building Capacity to Eliminate Mother-to-Child Transmission of HIV

In partnership with Born Free Africa, we are working with the Ministry of Health in Kenya to grow local managerial and clinical talent to address mother-to-child transmission of HIV and, ultimately, to be able to deliver universal health coverage.

Global Strategies for Primary Health Care and the Private Sector

Many countries lack the institutions and skills to provide effective stewardship over mixed health systems, which include both the public and non-state sectors (including private practices, faith-based organizations, non-profits, social enterprises and for-profit commercial entities). GHS researchers and their partners are helping to define a model of mixed health system stewardship for low-income countries and prioritizing investments that international development agencies could make to bolster national capabilities and achieve universal health coverage.

Partners