In the municipality of El Tuma-La Dalia, 175 kilometers north of the Nicaraguan capital of Managua, local leaders have designed the Educational Plan for Local Development, or Plan Educativo para el Desarrollo Local, which is transforming education into the engine for achieving sustainable local development by focusing on creating human capital. Of the municipality’s population of about 56,680, more than 85 percent live in rural areas that have few health facilities.

Editor’s note: After a quarter century of nearly continuous conflict—a period that decimated the country’s health resources—Afghanistan is now seven years into a sweeping effort to rebuild its health system, with funding from the US Agency for International Development (USAID), the World Bank, and the European Commission. MSH is honored to be playing a key role in this pioneering collaboration among the public, private, and nonprofit sectors—a collaboration that has much to celebrate and much work left to do. In this interview, Minister of Public Health Dr.

A web-based system for collecting and analyzing performance data in Rwanda is not only helping to increase the efficiency, accuracy, and transparency of the health care financing system, but has also resulted in reporting of data by 100 percent of facilities—a notable monitoring and evaluation success. Performance-based financing, as put in place by MSH’s HIV–PBF Project, is an approach to health care financing that shifts attention and funding from resources used to results achieved.