Strengthening Public Sector Health Systems & Health Workforce

We advocate for equipping public sector health systems with the people, facilities, equipment, and systems they need to provide high quality, primary health care.

Health systems include “building blocks” such as a health workforce, health facilities where services are delivered, drugs and technologies needed to provide care, information management systems, and the financing, leadership and governance structures needed to fund and manage the whole system. Underlying all of this are the people who use the health system, whose needs should drive the system to continually improve and evolve.

Governments with underresourced and, as a result, poorly functioning health systems are not only ill-equipped to respond to health emergencies (such as an Ebola outbreak or the COVID-19 pandemic), they often struggle to provide basic primary health care on a daily basis.

In response, big donors and wealthy governments often channel money to the private and social sectors, including to international NGOs (like HAI). In the quest to see progress, international donors often fund disease-specific and time-limited services. These programs may deliver results in the short-term, but when they circumvent the public sector, they can lead to fragmented and inefficient health care and leave the primary health care system used by the poorest and most vulnerable populations wanting for critical resources.

At HAI, we believe that governments are best positioned to provide high-quality, comprehensive health care to all citizens. That’s why our in-country programs always operate in close collaboration with ministries of health and support their efforts to improve care for all. 



The NGO Code of Conduct

The NGO Code of Conduct was created for service organizations, funders and host governments as an accountability tool to encourage NGO practices that contribute to building public health systems and discourage those that are harmful.

The Code was drafted in 2007 by a coalition of activist and service delivery organizations, led by Health Alliance International.

Health systems are a country’s mechanism for taking care of its people.  If you want to help: strengthen the National Health Service.

Dr. Paulo Ivo Garrido, Former Minister of Health, Mozambique

During the 2018 Stephen S. Gloyd Lecture at the UW Department of Global Health, co-sponsored by Health Alliance International

Sign ons & Resolutions

Statements & Publications

Op-Eds, News & Events

Key Pillar Partnerships

People's Health Movement

HAI has served on the PHM steering council, helping to organize a global movement for grassroots health activism

Learn More

Health Workers for All Coalition

HAI sits on the HWAC steering commitee, helping to confront the global health workforce crisis

Learn More

Community of Practitioners on Accountability & Social Action in Health

COPASAH promotes accountability by engaging communities in health system transformation 

Learn More

Explore the rest of HAI’s Advocacy Pillars




Stand with HAI

Stand with HAI


When you support Health Alliance International, you take a stand for a more equitable and respectful model of global health. Your donation not only helps us expand our reach, it is an investment in our shared values of health equity and solidarity. 

Join the Alliance

Our alliance is made up of supporters, partners, staff, and volunteers who share our commitment to universal access to quality health care. Just like a health system, every person plays a role in keeping us working toward this ultimate goal. Will you join us? 

Get Engaged

The kind of change we seek requires sustained action.  Whether you want to engage in HAI's advocacy work or help spread HAI's mission and model, we rely on our friends and supporters to stand beside us when we stand up for equity in global health.

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