Welcome to Health Systems 20/20, USAID’s global health project working to strengthen health systems by using an integrated approach to address the financing, governance, operational, and capacity constraints to the use of life-saving priority health services. Read more in the project brief.
The Health Systems 20/20 project is a Leader With Associates cooperative agreement for 2006–2011 through USAID’s Health Systems Division within the Global Health Bureau.

Health Systems 20/20 Launches NHA in Liberia
Working directly with the Ministry of Health and Social Welfare, Health Systems 20/20 has successfully launched National Health Accounts (NHA) in Liberia. NHA is a tool being used today in more than 50 low- and middle-income countries to measure total public and private national health expenditures. Click here to read more about our work in Liberia.
More...Helping Women Empower Women: Marking International Women's Day - March 8, 2008
International Women's Day is March 8, 2008. To celebrate, Health Systems 20/20 is highlighting two projects in Yemen that showcase the efforts of women to improve health locally and nationally.
More...Joint Pilot Program in Rwanda: Demonstrating the Potential of Mutuelles to Improve Child Health
Jointly with the Point-of-Service Water Disinfection and Zinc Treatment (POUZN) project, Health Systems 20/20 launched a pilot program February 13, 2008 in Nyagatare District to promote and distribute the Sûr’Eau water product in the Eastern Province of Rwanda, capitalizing on well established community-based health insurance (CBHI or mutuelle de santé) organization channels and membership in the area. The CBHI 2007 enrollment rate in the District of Nyagatare is 81%.
More...New Policy Brief!
Health Governance: Concepts, Experience, and Programming Options
A new policy brief issued by Health Systems 20/20 on the threat that weak governance poses to the allocation of health resources in the developing world.
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National Health Accounts