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MSH’s 2008 Annual Report focuses on the theme of strengthening health systems to increase the impact of global investments in health. MSH’s approaches can be readily adapted to different cultures and ideological climates, yet all effective health systems share certain elements.

They require a health workforce that is adequate in number, trained, motivated, and supported by a cadre of managers who can lead their organizations to results. Health systems must be able to deliver essential services, medicines, and life-saving technologies efficiently and reliably. Financial systems must ensure equitable care for all, while fostering accountability and transparency. And information systems are essential to provide insight into health needs and clear evidence of what approaches lead to improved health. In these pages, you’ll see how MSH works with health officials, local partners, and donors to help developing countries put in place—and link together—six core elements of effective health systems:

• Leadership, management, and governance
• Health services delivery
• Human resources for health
• Pharmaceuticals, medical devices, and diagnostic technologies
• Health care financing
• Health information