leadership & management

In fragile states, constraints on governments often prevent them from simultaneously building their stewardship role and immediately expanding service delivery. National and local governments must ultimately lead the process and work together with NGOs and the private sector to successfully strengthen their own health systems.

In Haiti, a two-pronged approach was successfully developed and implemented prior to the earthquake by a four-way partnership between the Government of Haiti, the United States Government, a network of Haitian and international NGOs  (Santé pour le Développement et la Stabilité d’Haíïti) (SDSH), and Management Sciences for Health.

The two-pronged approach included:

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