Health Systems Strengthening
Health systems don’t wait for stability. They must function during the crisis.
Governance Axis is led by senior public health and health systems specialists who designed, managed, and overseen large-scale USAID-, FCDO-, and multilateral-funded health programmes across Pakistan. Our experts worked at the intersection of policy, service delivery, surveillance, and financing—supporting governments during polio outbreaks, epidemics, climate shocks, and governance transitions.
What We Bring
Our health specialists led and supported national and provincial health initiatives worth tens of millions of dollars, operating where systems are weakest and accountability matters most.
We go beyond strategies and diagnostic reports. We help governments fix health systems that must function under pressure—strengthening governance, improving coordination, aligning financing, and ensuring frontline services reach the populations that need them most.
Governance Axis integrates health security, service delivery, supply chains, and institutional reform into practical solutions that deliver results during crisis while building long-term resilience.
Key Capabilities
Policy, Reform & Institutional Capacity: Acts, statutes, operational frameworks, institutional strengthening
Health Systems Strengthening & Governance: National and provincial health strategy development, coordination mechanisms, institutional arrangements
Global Health Security & Surveillance: WHO JEE framework adaptation, surveillance system plans, AMR surveillance, One Health approaches
Service Delivery & Priority Programmes: Polio eradication, immunization, infectious diseases, hepatitis control, RMNCH, family planning
Health Financing & Sustainability: Programme costing, donor transition planning, resource mobilization, PFM for health
Supply Chains & Systems Performance: Forecasting, procurement, logistics, commodity security for essential medicines
Track Record
• Advanced Pakistan’s Global Health Security Agenda
• National and provincial surveillance system development
• Health sector strategy development and mid-term reviews
• Polio eradication, immunization, and infectious disease programmes
• Health financing and donor transition support
• Supply chain strengthening across decentralized contexts
What Our Team Has Done
Health Systems Strengthening & Governance: Our team shaped national and provincial health strategies, conducted mid-term reviews of health sector plans, and supported governments to realign policies with national visions and SDG commitments. We established coordination mechanisms, developed TORs and SOPs, and strengthened institutional arrangements to improve stewardship and accountability across the health sector.
Global Health Security & Surveillance: Governance Axis experts played a central role in advancing Pakistan’s Global Health Security Agenda. Our work includes adapting the WHO Joint External Evaluation framework, developing national and provincial surveillance system plans, and strengthening antimicrobial resistance surveillance using One Health approaches.
Service Delivery & Priority Programmes: Our team supported critical service delivery programmes across polio eradication, immunization, infectious diseases, hepatitis control, reproductive, maternal, newborn, and child health, and family planning. We strengthened frontline systems, supported institutionalization of community health worker programmes, and improved coordination amongst bilateral and multilateral donors.
Health Financing & Sustainability: Governance Axis specialists supported governments to align health priorities with realistic financing frameworks. Our work includes costing of surveillance and health programmes, supporting donor transition planning, mobilizing external resources, and strengthening public financial management for health.
Why It Matters
For Governance Axis, health is not a standalone sector—it is a system that must hold under crisis. Our work is measured in functioning surveillance systems, resilient service delivery platforms, credible institutions, and populations protected from preventable disease.