1. Hong Wang, MD, PhD Abt Associates Inc./Yale University 1 st Global Symposium on Health Systems Research November 17, 2010 Measurement of Health System Strengthening: A case study from PATHS2 Nigeria

2. 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

3. 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 DFIDs requirement, PATHS2 has developed a unique framework and approach to measure the system changes over the program period 1/27/20143

4. 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)

5. Thank you