2022 USAID Health Systems Strengthening Case Competition

The USAID Health System Strengthening Case Competition, supported by the Accelerator, is an opportunity for USAID staff and partners working on health system strengthening (HSS) activities to showcase the work they are doing and the impact that their activities are having on health systems and health outcomes.

Using real-life examples, the Case Competition will allow us to learn what does and does not work when implementing, institutionalizing, and scaling up health system programs and approaches. These case submissions will help inform USAID and its partners’ ongoing work and will contribute to learning syntheses and dissemination under the USAID HSS Learning Agenda to strengthen the global HSS evidence base.

2022 Case Competition Winners Showcase

The Winners Showcase on October 25, 2022, featured presentations from the three winners of USAID’s 2022 Health Systems Strengthening Case Competition. 

Participants asked questions of our winning authors and engaged in a facilitated discussion about the impact of systems-thinking approaches on health system outcomes and how to sustain and scale up these approaches. Watch the recording below and view the results of Menti audience polls here

2022 Case Competition Winners

NOTE: The Case Competition Winners are not presented in any particular order. 

Strengthening Health Systems Response to Health Emergencies in Colombia

Rapid Response Team providing a hand-washing tutorial as part of an “Infection, Prevention and Control” campaign for migrants. Norte de Santander. Nov. 29, 2022. Photo credit: Milena Pineda & Kelly Rubio.


    • Miguel Angel Pulido, Chief of Party, Local Health System Sustainability Project (LHSS) Project, Colombia Activity   
    • Esmily Ruiz Varón, Emergencies response lead,  LHSS, Colombia Activity
    • Jacqueline Acosta de la Hoz, Emergencies response specialist, LHSS, Colombia Activity
    • Juanita Corral, Emergencies response specialist, LHSS, Colombia Activity 
    • Camila Franco Restrepo, Research and adaptive management lead, LHSS, Colombia Activity
    • Jazmín Duque, Quality Advisor, LHSS, Colombia Activity
    • Julie Collins, Project Management Officer, LHSS
    • Kimberly Jimenez, Assistant for the emergencies response team, LHSS, Colombia Activity.


    • Alejandro Diaz, Project Management Specialist – Health  Venezuela Response and Integration Office  USAID/Colombia

Institutionalizing Evidence-based, Responsive Care for Women and Children Affected by Zika

A community health worker (the man in the tan vest) linked to a health center that received USAID Zika support making a home visit to show the mother stimulation exercises to do with her daughter. Photo credit: USAID 2017


    • Lani Marquez, University Research Co., LLC (URC)
    • Victor Boguslavsky, University Research Co., LLC (URC)


    • Ms. Lisa Maniscalco, the USAID ASSIST Project AOR
    • Jorge Hermida (Regional Team Lead and Director of the Care and Support Collaborative)
    • Miguel Hinojosa (Regional Coordinator for the Care and Support Collaborative)
    • Cecilia Villaman (Country Director) and Dr. Digna López (Country Coordinator for the Care and Support Collaborative), Dominican Republic
    • María José Escalante (Country Director) and Dr. José Corral (Country Coordinator for the Care and Support Collaborative), Ecuador
    • Guadalupe Razeghi (Country Director) and Dr. María Magdalena Martínez (Country Coordinator for the Care and Support Collaborative), El Salvador
    • Roberto Aldana (Country Director) and Dr. Iván de León (Country Coordinator for the Care and Support Collaborative), Guatemala
    • Norma Aly (Country Director) and Ms. María Elena Banegas (Country Coordinator for the Care and Support Collaborative), Honduras
    • Ivonne Gómez (Country Director) and Dr. Indira Moreno (Country Coordinator for the Care and Support Collaborative), Nicaragua
    • Graciela Ávila (Country Director) and Dr. Patricia Misiego (Country Coordinator for the Care and Support Collaborative), Paraguay
    • Christian Requena (Country Director), Peru

Auditable Pharmaceutical Transactions and Services (APTS)—Systems Approach for Sustainably Improving Pharmaceutical Management in Ethiopia

Photo Credit: Warren Zelman


    • Hailu Tadeg – USAID Medicines, Technologies, and Pharmaceutical Services (MTaPS) Program, Ethiopia
    • Gabriel Swinth – MTaPS, Arlington VA, USA


    • Tamara Hafner – MTaPS, Arlington VA, USA
    • Niranjan Konduri – MTaPS, Arlington VA, USA

Case Competition Information

Case Competition Judges

Thomas Bossert

Thomas J. Bossert is a senior lecturer and the director of the International Health Systems Program of the Harvard T. H. Chan School of Public Health. He has many years of experience in international health in Latin America and the Caribbean, Africa, Asia, and Central and Eastern Europe. His specialties include health reform, decentralization, sustainability, and implementation science, social capital, policy analysis, organizational and institutional analysis, human resources policy, public/private relations, community development, and project design and evaluation.

Dr. Bossert earned his AB from the School of Public and International Affairs (formerly Woodrow Wilson School) at Princeton University and MA and PhD in political science from the University of Wisconsin, Madison. He is fluent in Spanish and has a working knowledge of French.

Leizel Lagrada-Rombaua

Dr. Leizel Lagrada-Rombaua is an independent consultant working with global organizations, development partners and Philippine government agencies on health financing reforms, governance in health, and quality assurance. She had been a part of the Joint Learning Network for Universal Health Coverage (JLN) for seven years, first as country-representative and member of its steering group and recently in a technical support role for its quality assurance and governance structure. She worked as head executive staff (2010-2015) and concurrently as group vice president at the Philippine Health Insurance Corporation (PhilHealth) with a prior appointment as senior manager for the accreditation department and standards and monitoring department. She led the development of the implementing guidelines for the so-called PCB1 (primary care benefit package 1) and its expanded version, termed as TSEKAP – governing policies on the expanded coverage of the primary care benefit package (Tamang Serbisyo sa Kalusugan ng Pamilya).

Dr. Lagrada-Rombaua started as a municipal health officer in Palawan, Philippines (1997–2001) administering health services as a community physician and a rural health advocate. She worked at the Department of Health (2001–2010) as a medical officer and later as division chief in health policy and planning. Her involvement in the JLN enabled her to learn from and share with peers policy-relevant experiences from low- and middle-income countries like the Philippines that are pursuing similar UHC-related reforms.

Kamaliah Noh

Dr. Kamaliah Mohamad Noh is a technical expert in primary health care operational policy development. She has 25 years of experience at various levels of the public primary health care delivery system, at the district implementation level, the state policy level, and heading the primary health care section of the Ministry of Health, Malaysia. She took up an academic appointment at the University of Cyberjaya for 4 ½ years, teaching public health and community medicine. She has shared Malaysia’s experience in implementing national health policies to attain public health goals at the regional ASEAN and global levels. As an independent consultant, she is involved with R4D’s work on the Joint Learning Network for Universal Health Coverage’s primary health care technical initiative and the PHC Financing and Payment collaborative.

Dr. Kamaliah is a Fellow of the Public Health Chapter of the Academy of Medicine Malaysia, holds an MPH from the University of Philippines Manila, a postgraduate diploma in dermatology from the University of London, and a Bachelor of Medicine and Surgery from the University of Alexandria.

Helen Saxenian

Helen Saxenian is a health economist who has led many projects at Results for Development, primarily focused on immunization. She has been an independent consultant for 18 years, and before that worked for 20 years at the World Bank, in both technical and managerial capacities, primarily in the health sector.  She has worked on broad health sector reform, HIV/AIDS, health insurance reform, provider reimbursement, human resources for health, health public expenditure reviews, pharmaceutical policies, new drug, and vaccine development, and women’s reproductive health.  She is the author of many World Bank sector and policy reports, and external publications.

Ms. Saxenian has a Ph.D. in applied economics from Stanford University and a B.A. in economics from U.C. Berkeley.