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 IGHS, 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 healthcare 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. 


African Health Markets for Equity (AHME)

African Health Markets for Equity (AHME) uses National Health Insurance to link quality private providers with low-income clients in order to shift health markets toward providing higher quality healthcare to poor populations in Kenya and Ghana. IGHS runs the qualitative evaluation of the AHME program.

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.

Global Action in Nursing

The Global Action in Nursing (GAIN) project aims to reduce preventable maternal and infant death during childbirth by providing clinical and leadership training to nurse-midwives in high-risk communities. The GAIN project partners with communities to equip nurses with the expertise and skills they need to save lives.

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). IGHS 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.


In partnership with national Ministries of Health and implementing partners, HEALTHQUAL designs and implements large-scale improvement activities, such as improvement collaboratives, and facilitates the establishment of sustainable and institutionalized facility-level and national health quality management (QM) programs.

Malaria Program Management Improvement

HEALTHQUAL and the Malaria Elimination Initiative have developed an integrated approach using organization development and quality improvement methods to improve the management of service delivery in malaria elimination settings. We help malaria programs to identify operational challenges and then develop, implement, and measure solutions to address them. This approach can be used by any level of a malaria program to apply change management and institute it into already existing health system structures. The approach has been piloted in Eswatini and Zimbabwe and will also be piloted in Namibia.

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.

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.