Measurement of Health System
Strengthening:
A case study from PATHS2 Nigeria
Hong Wang, MD, PhD
Abt Associates Inc./Yale University
1st Global Symposium on Health Systems Research
November 17, 2010
Background and objective
 Background
 Health system strengthening (HSS) is now a global
health priority
 Yet, little common understanding/agreement of what
HSS is and how to track the impact of HSS
 Objective
 To stimulate the debate and discussion on how to
track the impacts of a comprehensive HSS using
PATHS2 as an example
PATHS2 program in Nigeria
• Partnership for Transforming Health Systems:
Phase 2 (PATHS2), is a follow up program of PATHS
• A comprehensive system-wide HSS program,
• Funded by DFID: 2008-2014,
• Implemented by a consortium of partners led by Abt
Associates Inc.,
• Goal: Using Nigeria's own resources more efficiently
and effectively to achieve the MDGs.
 In response to DFID’s requirement, PATHS2 has
developed a unique framework and approach to
measure the system changes over the program period
4/13/2015
3
Outline of this panel

Overall framework, indicators, and methodologies of
tracking HSS in PATHS2 (Ibrahim Yisa, PATHS2,
Nigeria/Abt Associates)

Assessment of health policy and policy development
capacity (Allison Goldberg, Columbia University)

Public expenditure management assessment (Benson
Obonyo, PATHS2, Nigeria/Abt Associates)

Measuring the readiness of service delivery system to
response to healthcare needs (Ayman Mohsen, Abt
Associates)

Demand side and community engagement assessment
(Ben Rolfe, Options)
Thank
you