In the decade leading up to the 2008 economic crisis, health policy experts increasingly questionedthe donor community's prevailing focus on interventions targeting specific diseases, such as HIV/AIDS,tuberculosis, and malaria. Though these disease-specific interventions produced major, measureableresults, they did so at the cost of creating coordination, financial, and reporting challenges for recipientcountries which already had overstretched health systems.
When The Rockefeller Foundation launched its Transforming Health Systems (THS) initiative in 2009, itcommitted itself to driving renewed attention to strengthening health systems as a whole. The Foundationbelieved that this was essential for meeting its overall commitment to equity – so that national healthsystems could provide quality care to everyone, rich and poor alike.
This final evaluation – conducted by the Foundation's monitoring and evaluation grantee, MathematicaPolicy Research – assesses and documents the initiative in its entirety. It reviews the outcomes of theinitiative's global advocacy, regional networks, and country-level investments, and its overall effectivenessand influence, as well as the Foundation's legacy for advancing UHC. By sharing this evaluation report, it isthe Foundation's hope that others will join us in celebrating our successes, learning from our challenges,and building on this knowledge base to continue advancing Sustainable Development Goal 3 – healthand wellbeing for all.