The document discusses Afghanistan's health system challenges and a comprehensive approach to building a sustainable system. It outlines challenges like dependence on donors, high out-of-pocket costs, and low public spending. The proposed approach includes mobilizing local resources by training staff, gradually decreasing donor dependence through new revenue and improving budget execution, coordinating aid, and ensuring sustainability by transitioning donor-funded staff and improving salaries. The presentation reflects on designing a new system from scratch in post-conflict countries.