1. MSH Approach to Health Systems
Strengthening: What Does This Mean For Me?
CLM Staff Meeting
April 26, 2012

2. Our Purpose
To have a productive engagement with CLM staff on MSH
approach and how it applies to our work through:
• Examples when and where its been helpful
• Reviewing approach and its 6 steps
• Sharing an example of an LMG application
• Soliciting staff feedback

3. Health Systems at Work
http://www.youtube.com/watch?v=PFVCNUOM5Us
Source: World Bank, 2011

4. The Danger of a Perfect Sub-System
Not considering demand means that many may go
untreated
THE IMPLICATION: A PERFECT SUB-
SYSTEM MAY NOT ALWAYS HELP THE
ENTIRE HEALTH SYSTEM
A misdirected outreach and delivery strategy is being used

5. 6 steps to achieving greater impact
Step 1. Identify the health outcome or impact goal
Step 2. Identify the health challenges, their causes and
risk factors
Step 3. Identify and select high impact interventions
Step 4. Determine health system requirements and
bottlenecks to achieve coverage levels
Step 5. Identify the critical health systems interventions
that address bottlenecks
Step 6. Select the most appropriate M&E indicators
along the approach

6. MSH HSS Results Model

7. Example: LMG Ethiopia Model for HSS Results

8. Key Resource: One MSH Tools Database
You can access many key tools related to
Health Systems Strengthening on the One
MSH tools database located in the Tools
and Resources sections of the Intranet.

9. MSH Approach to HSS: New Resources for Staff
• MSH Approach to HSS: A Staff Resource (revised March
2012)
• Project application worksheet
• 4-pager on approach for external audiences (coming
soon!)
http://intranet.msh.org/technical-topics/hss/index.cfm

10. We Welcome Your Feedback
• Was this discussion about MSH’s approach and how it
applies to CLM’s work helpful?
• Did you learn anything new?
• Do you see the applicability to your work?
• How would you make this approach useful to your work?
• Is there anything else you would like to see as part of the
approach?
• Is there anything you think would be helpful to
encourage its use?