The Gavi health system strengthening (HSS) tracking Study is designed to provide real‐time evidence regarding the technical, managerial, and policy processes for the successful implementation of Gavi HSS grants in a set of six countries: Ethiopia, the Democratic Republic of the Congo (DR Congo), Kyrgyz Republic, Nepal, Vietnam and Zambia.  These countries were selected to reflect a broad range of country settings and experiences.

The study was carried out in August 2008 by JSI Research & Training Institute, Inc. (JSI) and its partner organisation in Sweden, InDevelop‐Institute of Public Management (InDevelop‐IPM).


Recognising that achieving immunisation coverage is dependent upon strong service systems, the Gavi Board took the first steps to widen Gavi support to health system strengthening (HSS) in early 2005.

Countries are encouraged to use Gavi HSS funding to target the "bottlenecks" or barriers in the health system that impede progress in improving the provision of and demand for immunisation and other child and maternal health services.

Objectives of tracking study

The study's three objectives were:

  1. improving the quality of project design/applications and strengthening implementation;
  2. developing responsibility and ownership over the monitoring of Gavi HSS and promoting its integration into ongoing processes at the country level;
  3. establishing a network of countries implementing Gavi HSS beginning with the countries in the case studies-and facilitating cross‐country learning and capacity building among them.


The Tracking Study sought to strengthen in‐country capacity to monitor Gavi HSS through the active engagement of local research organisations with the Ministry of Health (MoH) and partners responsible for HSS management, oversight and coordination.

Country workshops were an important element in that implementers and stakeholders across both national and sub‐national levels were brought together to dialogue on the status of implementation and bottlenecks encountered.


Visit the Country Hub section to find in depth country reports for the six countries selected for the Tracking Study: Ethiopia, DR Congo, Kyrgyzstan, Nepal, Vietnam and Zambia.


  • Health system strengthening tracking study


Last updated: 10 Dec 2019

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