Health Systems Assessment Approach:
A How-to Manual
USAID's Office of Health, Infectious Diseases and Nutrition (HIDN) requested the development of a Health Systems Assessment Approach as part of its global Mainstreaming Health Systems Strengthening Initiative. The Health Systems Assessment Approach: A How-To Manual was developed by Health Systems 20/20, Partners for Health Reformplus (PHRplus), Rational Pharmaceutical Management Plus (RPM Plus), and the Quality Assurance Project (QAP). It is designed to provide a rapid yet comprehensive assessment of a country's health system.
The approach covers key health systems functions and is organized around seven technical modules, which guide data collection and assessment:
- Core module
- Governance
- Health financing
- Health service delivery
- Human resources
- Pharmaceutical management
- Health information systems
Read more in the Health Systems Assessment Approach brief.
Health Systems Database!
This web-based tool allows the user to review country data and prepare an automated country profile as a first step to deciding whether a full assessment using the manual is needed. Customized country data and charts, as well as comparisons with peer countries in the same region or income group, can be generated within minutes.
Download Related Resources
- Angola Health System Assessment, 2005
- Southern Sudan Health System Assessment Approach, 2007
- Benin Health System Assessment, 2007
- Vietnam Health System Assessment (2 provinces), 2009
- Nigeria Health System Assessment, 2009
- Senegal Health System Assessment, 2009
- Vietnam Health System Assessment (6 provinces), 2010
- Angola Health System Assessment, 2010
Coming Soon
- Health System Assessment Lesotho
- Health System Assessment Zimbabwe
- Health System Assessment Kenya
- Health System Assessment Guyana
- Health System Assessment Uganda
- Health System Assessment Cote d'Ivoire
Download the Manual by Chapter
- Introduction
- Chapter 1. Health Systems Strengthening: An Introduction
- Chapter 2. Overview of the Approach
- Chapter 3. Planning and Conduction the Assessment
- Chapter 4. Synthesizing Findings and Developing Recommendations
- Chapter 5. Core Module
- Chapter 6. Governance Module
- Chapter 7. Health Financing Module
- Chapter 8. Health Service Delivery Module
- Chapter 9. Human Resources Module
- Chapter 10. Pharmaceutical Management Module
- Chapter 11. Health Information System Module
- Component 1 Data: Please use the new Health Systems Database
The Component 1 Data provided with the manual is now outdated.

