As it emerged from the Soviet era, Albania had a centrally directed public health care system dominated by medical specialties and a lack of holistic primary health care (PHC). What appeared to be a collapsing system in 1993 started to turn around when Albania’s new government began its health sector reform efforts, drafting strategic plans to strengthen PHC, reorganize health provider tasks, and improve medical training.

Over a seven-year period, URC implemented two USAID-funded projects, ProShëndetit and ProShëndetit II. ProShëndetit was an integrated PHC service improvement project that sought to create better health services for Albanians. Through ProShëndetit, URC was able to broadened health care reform to increase integration, access, and quality in the delivery of services by developing a primary health care model that set standards for comprehensive, integrated services for family planning, reproductive health, HIV/AIDS and sexually transmitted infections, tuberculosis, and other infectious diseases.