Primary Health Care (PHC)

A healthy life should not be a lottery. Yet across the world’s most challenging contexts, care fails when facilities lack essential medicines and basic infrastructure, health workers are missing or unsupported, and leaders lack the frontline insights needed to fix struggling services.

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How SystemSolving Helps

We establish real-time visibility and performance management rigour so health leaders can remove operational bottlenecks, boost accountability, and ensure the system delivers reliable, quality care at the last mile.
citizens served

200M+

citizens served

We partner with governments to upgrade health facilities and boost access to essential services – driving radical, life-saving outcomes.

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facilities monitored each month

10K+

facilities monitored each month

We support independent field monitors with geo-enabled tracking tools to replace self-reported metrics with frontline truth – guaranteeing real-time visibility into local supply chains, staffing, and facility performance.

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health facilities made functional

5K+

health facilities made functional

We help governments fix frontline facilities – safeguarding reliable staffing, consistent medicine stocks, and proper infrastructure to ensure clean, safe, and welcoming environments for patient care.

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Spotlight Impact

In Punjab, Pakistan, we helped the government build trust and increase deliveries in public facilities between 2014 and 2024 by enforcing zero tolerance for missing essentials. Improving the basics helped to drive massive uptake of services. Public facility birth rates surged from 61% in 2014 to 86% by 2024, contributing to a reduction in neonatal mortality by 38 percentage points.
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Our Insights

Facing the uncomfortable truth for mothers in Nigeria
Facing the uncomfortable truth for mothers in Nigeria

April 9, 2026

3 min read

In late 2025, a senior health official in Sokoto was shown a series of photos from a local health clinic. He saw a rusted delivery bed and a room with…

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The best innovation isn’t always tech. Often, it’s human.
The best innovation isn’t always tech. Often, it’s human.

August 28, 2025

2 min read

It makes sense to associate innovation with technology. But in the toughest settings, the most creative solutions are those that empower, recognise, a…

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Delivery is a skill. And it can be learned.
Delivery is a skill. And it can be learned.

July 10, 2025

3 min read

In March 2024, Ethiopia launched its first single-dose HPV vaccine campaign. This was a huge first step for preventing cervical cancer in the country.…

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Building political commitment to deliver, sustain and scale change
Building political commitment to deliver, sustain and scale change

June 6, 2025

4 min read

Adversity doesn’t stop leaders. It reveals them. When systems are strained and budgets tight, political commitment makes the difference between well-i…

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Using technology to support frontline health workers
Using technology to support frontline health workers

June 21, 2024

2 min read

Some health workers understandably worry about technology further overburdening them. But if interventions are designed correctly, more overburdening…

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Giving frontline health workers a stronger voice
Giving frontline health workers a stronger voice

June 14, 2024

2 min read

Some of the world’s best organisations are seeing positive change by letting frontline workers take the lead in suggesting and creating solutions. Und…

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Why incremental improvements are the pathway to change
Why incremental improvements are the pathway to change

June 11, 2024

2 min read

Governments and donors often want to address major health and education issues with one large policy adjustment. But it is the small, daily, improveme…

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Delivering sustainability in low- and middle-income countries
Delivering sustainability in low- and middle-income countries

June 10, 2024

3 min read

Many people agree that sustainability is the right path to follow, but delivering it is something else entirely. Sustainability is an important goal i…

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Lessons learned: rebuilding health service delivery after conflict
Lessons learned: rebuilding health service delivery after conflict

July 5, 2022

2 min read

Northern regions in Ethiopia have been operating with reduced or disrupted health services. We supported regional administration and the government in…

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Rapidly mapping health facilities in fragile and conflict-affected contexts
Rapidly mapping health facilities in fragile and conflict-affected contexts

May 26, 2022

3 min read

Somalia is one of the most difficult places to provide health services, following decades of conflict and political instability, and persistent limita…

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Practical advice for young public officials
Practical advice for young public officials

February 22, 2022

2 min read

Here are a few insights I gained from my experience that I would like to share with the thousands of young public officials who have to make decisions…

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WHAT WE DO

Our Work

Afghanistan

Afghanistan

Chad

Chad

DRC

DRC

Ethiopia

Ethiopia

Mozambique

Mozambique

Nigeria

Nigeria

Pakistan

Pakistan

Afghanistan

Afghanistan

Chad

Chad

DRC

DRC

Ethiopia

Ethiopia

Mozambique

Mozambique

Nigeria

Nigeria

Pakistan

Pakistan

Government Engagement & Reform

Government Engagement & Reform

Data, Technology, AI

Data, Technology, AI

Performance Management

Performance Management

Improving Last Mile Services

Improving Last Mile Services

Demand

Demand

Capacity Building & Transition

Capacity Building & Transition

Government Engagement & Reform

Government Engagement & Reform

Data, Technology, AI

Data, Technology, AI

Performance Management

Performance Management

Improving Last Mile Services

Improving Last Mile Services

Demand

Demand

Capacity Building & Transition

Capacity Building & Transition

MNCH

MNCH

Immunisation

Immunisation

Primary Health Care (PHC)

Primary Health Care (PHC)

Sexual and Reproductive Health Rights (SRHR)

Sexual and Reproductive Health Rights (SRHR)

Polio

Polio

Malaria

Malaria

Nutrition

Nutrition

Education

Education

MNCH

MNCH

Immunisation

Immunisation

Primary Health Care (PHC)

Primary Health Care (PHC)

Sexual and Reproductive Health Rights (SRHR)

Sexual and Reproductive Health Rights (SRHR)

Polio

Polio

Malaria

Malaria

Nutrition

Nutrition

Education

Education

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