Health Service Delivery

A midwife conducts a rapid diagnostic test for malaria on an infant in Ghana. Photo credit: URC

Health Service Delivery

Strengthening health service delivery is crucial to the achievement of universal health coverage. This supports the overarching target of the 2030 sustainable development goal 3: “ensure health and well-being for all.” As its main tenet, URC embraces the delivery of people-centered quality care as a driver for making services accountable, affordable, accessible, and reliable.

We support governments to lead and manage their health system and resources – including competent, adequately supported, satisfied, and equitably distributed health care workers – to deliver quality health services.

We seek to enable leaders and managers deliver high quality services and create systems to support them with the use of strategic information for the planning, evaluation, and continuous improvement of quality services. We engage and empower people, families, and communities to make full use quality health services and advocate for quality care. 

People-centered quality care

“URC recognizes that the interplay of supply of and demand for health services unfolds in a broader context that can either constrain or facilitate people-centered quality care and that is determined and influenced by factors in the enabling environment.”
Dr. Victor Boguslavsky
Senior Technical Advisor – Health Service Delivery

As part of URC’s work to strengthen health systems and improve health care and health status globally, we incorporate efforts to improve the quality and reach of health services. Current projects with a significant health service delivery component include:

The USAID Regional Health Integration to Enhance Services in Northern Uganda Activity (RHITES-N, Acholi) Activity is helping to increase access to and use of high-quality integrated services that accelerate the ability and capacity of health facilities to respond to community needs. The Activity is enhancing district capacity to provide HIV/AIDS, tuberculosis, malaria, reproductive health and family planning, nutrition, and maternal, newborn, and child health services.  

The USAID Regional Health Integration to Enhance Service in East Central Uganda Activity (RHITES-EC) is, similarly, working to increase utilization of HIV/AIDS, tuberculosis, malaria, reproductive health and family planning, nutrition, and maternal, newborn, and child health services. The Activity is strengthening district health systems to improve health service delivery, including availability of, access to, and demand for services in 12 districts in East-Central Uganda.

Limited access to health facilities and providers has adversely impacted population health in the Bangsamoro Autonomous Region in Muslim Mindanao, Philippines. URC supports the Ministry of Health in this region to achieve a self-reliant health system under the USAID Bangsamoro Autonomous Region in Muslim Mindanao for Health (BARMMHealth) Project by strengthening the capacity of the government, civil society, and communities to develop, implement, and finance solutions to improve health. The project works to improve social norms and encourage healthy behaviors among underserved adolescents, youth, women, and men; strengthen the quality of family planning and maternal and child health services; and bolster public health policies and systems.

URC is leading the implementation of the USAID Quality Services for Health Activity (Q4H) in Ghana, which aims to support the Government of Ghana’s leadership to promote and oversee improved quality health services across the public and private health sectors.  

URC also leads the USAID Health Services Quality Accelerator Activity in Jordan. This Activity strengthens Jordan’s Ministry of Health leadership and governance capacity to address areas of weak performance and improve quality of care to improve reproductive, maternal, newborn, and child health outcomes.