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Many low- and middle-income countries around the world face a growing demand for health services while grappling with inadequate access to basic health care, high-cost hospital care, government funding constraints, rapid population growth, gaps in maternal and child health, and the spread of infectious diseases such as malaria and HIV/AIDS. To address these issues, PHRplus' regional and country-specific activities strive to improve health system performance, public and private, and increase the use of priority health services, ultimately improving the health and survival of populations, especially the poor and those at most risk.


PHRplus has to-date received field support from several African countries and regions, including the Benin, Ghana, the REDSOE office, Senegal, Tanzania, Sao Tome and Principe, the West Africa Regional Program, Zambia, and the AID Africa Bureau. PHRplus is providing technical assistance on an array of health reform issues, including: infectious disease surveillance and health information systems, community-based health financing, decentralization, policy development, National Health Accounts (NHA), and hospital management.

Asia/Near East and Europe/Eurasia

PHRplus provides short- and long-term technical assistance to USAID missions and host-country counterparts in Albania, the AID/G Asia/Near East (ANE) Regional Bureau, Georgia, Egypt, Jordan, and Yemen.

In Jordan and Albania, technical assistance is provided and coordinated through field offices in a wide range of health reform areas, including improved primary health care, strengthening ministry of health (MOH) capacity to regulate quality, introducing low tech health information systems based on patient encounter data, NHA, provider contracting, and hospital autonomy. Improving infectious disease surveillance systems is the focus in Georgia and of the ANE Regional Bureau. New activities are to begin in Egypt, Belarus, and Southeast Asia.

Latin America and the Caribbean (LAC)

PHRplus is currently providing country-specific technical assistance on a number of areas of reform such as insurance, hospital payment reform, modernization of the MOH, and managing the policy reform process. PHRplus has recently been invited by USAID missions to support ministries of health and host-country counterpart organizations in El Salvador, Guatemala, and Peru. The project is also supporting the USAID LAC Bureau and, with PAHO, the LAC Health Sector Reform Initiative.

The LAC Regional Health Sector Reform Initiative is a region-wide initiative that supports national reform processes to promote more effective basic health services.

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