Health Systems Strengthening

Health systems in low- and middle-income countries (LMICs) are complex and are not always designed to make it easy for consumers to navigate. As a result, consumers’ journeys through the health system are far from linear; they involve a lot of trial and error

We make it easier for people to access the essential health services and products they need.

Through PSI’s Health Systems Accelerator, we build on our 50+ years of experience to collect and elevate consumer and health system insights, scale innovations and partner with government and private sector actors to shape stronger, more integrated health systems that work for consumers.

"The end goal is simple: we want to make it easier for consumers to access quality and affordable primary healthcare. And we want to do it in a way that allows them to use their voice, control and choice."

— Alex Ergo, Director, Health Systems Accelerator

Our Commitments
to Strengthening the system

From promoting self-care to improving government capacity to prevent, detect and respond to disease outbreaks, we co-create and scale innovations across all levels of the health system to make limited resources stretch further, equip consumers to take ownership of their own health, and increase health impact.

… to equip them with the tools and personalized information they need to make more informed decisions about their health.

We start by understanding the challenges consumers face along their journey to care and use these insights to redesign service delivery and make it easier for consumers to access the care they need. In doing so, we improve both clients’ experiences of care and overall health outcomes.

Whether consumers decide to visit a private clinic or a government health center, the service they seek should be both affordable and of quality. For this to be the case, private and public sector players need to work more closely together. 

We use digital technology to make it easier for consumers to choose care across the health system, and providers to deliver health services that respond to consumers’ unique needs. 

We support governments in shaping the regulatory environment and the policies that allow self-care to become an integral part of the health system.

We support government-led Public Health Emergency Operations Centers (PHEOC) to generate and act upon real-time, quality data so that health systems can get ahead of the health challenges of today, and tomorrow. 

Self-care for
stronger health systems

Self-care practices offer health systems a new and critical partner: consumers themselves.

The Self-Care Trailblazer Group (SCTG) is a global coalition dedicated to expanding the safe and effective practice of self-care so that individuals can better manage their own health, health outcomes are improved, and health systems are better equipped to achieve universal health coverage.

A stronger health system
clears the way for consumers

… to access quality care and take ownership of their health and life. And when we invest in a health system that serves consumers, we will get closer to UHC. 

Beginning in 2023, we’re sharing insights and reflections for how we can make consumers’ journeys through the health system easier and shape stronger, more resilient, and more responsive health systems. 

Will you join the journey? Read the series, below.




Director, Health Systems Accelerator



Senior Technical Advisor, Self Care, Health Systems Accelerator



Technical Advisor, Private Sector Engagement, Health Systems Accelerator


Discover what's happening at PSI


The Future of Work

With overarching commitments to flexibility in our work, and greater wellbeing for our employees, we want to ensure PSI is positioned for success with a global and holistic view of talent. Under our new “work from (almost) anywhere,” or “WFAA” philosophy, we are making the necessary investments to be an employer of record in more than half of U.S. states, and consider the U.S. as one single labor market for salary purposes. Globally, we recognize the need to compete for talent everywhere; we maintain a talent center in Nairobi and a mini-hub in Abidjan. PSI also already works with our Dutch-based European partner, PSI Europe, and we’re creating a virtual talent center in the UK.


Meaningful Youth Engagement

PSI is firmly committed to the meaningful engagement of young people in our work. As signatories of the Global Consensus Statement on Meaningful Adolescent & Youth Engagement, PSI affirms that young people have a fundamental right to actively and meaningfully engage in all matters that affect their lives. PSI’s commitments aim to serve and partner with diverse young people from 10-24 years, and we have prioritized ethics and integrity in our approach. Read more about our commitments to the three core principles of respect, justice and Do No Harm in the Commitment to Ethics in Youth-Powered Design. And read more about how we are bringing our words to action in our ICPD+25 commitment, Elevating Youth Voices, Building Youth Skills for Health Design.


Zero Tolerance for Modern-Day Slavery and Human Trafficking

PSI works to ensure that its operations and supply chains are free from slavery and human trafficking. Read more about this commitment in our policy statement, endorsed by the PSI Board of Directors.



Since 2017, PSI has been a signatory to the United Nations Global Compact, a commitment to align strategies and operations with universal principles of human rights, labor, environment and anti-corruption. Read about PSI’s commitment to the UN Global Compact here.


Environmental Sustainability

The health of PSI’s consumers is inextricably linked to the health of our planet. That’s why we’ve joined the Climate Accountability in Development as part of our commitment to reducing our greenhouse gas emissions by 30 percent by 2030. Read about our commitment to environmental sustainability.


Affirmative Action and Equal Employment Opportunity

PSI does not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, protected veteran status or any other classification protected by applicable federal, state or local law. Read our full affirmative action and equal employment opportunity policy here.


Zero Tolerance for Discrimination and Harassment

PSI is committed to establishing and maintaining a work environment that fosters harmonious, productive working relationships and encourages mutual respect among team members. Read our policy against discrimination and harassment here.

PSI is committed to serving all health consumers with respect, and strives for the highest standards of ethical behavior. PSI is dedicated to complying with the letter and spirit of all laws, regulations and contractual obligations to which it is subject, and to ensuring that all funds with which it is entrusted are used to achieve maximum impact on its programs. PSI provides exceptionally strong financial, operational and program management systems to ensure rigorous internal controls are in place to prevent and detect fraud, waste and abuse and ensure compliance with the highest standards. Essential to this commitment is protecting the safety and well-being of our program consumers, including the most vulnerable, such as women and children. PSI maintains zero tolerance for child abuse, sexual abuse, or exploitative acts or threats by our employees, consultants, volunteers or anyone associated with the delivery of our programs and services, and takes seriously all complaints of misconduct brought to our attention.


Diversity and Inclusion

PSI affirms its commitment to diversity and believes that when people feel respected and included they can be more honest, collaborative and successful. We believe that everyone deserves respect and equal treatment regardless of gender, race, ethnicity, age, disability, sexual orientation, gender identity, cultural background or religious beliefs. Read our commitment to diversity and inclusion here. Plus, we’ve signed the CREED Pledge for Racial and Ethnic Equity. Learn more.


Gender Equality

PSI affirms gender equality is a universal human right and the achievement of it is essential to PSI’s mission. Read about our commitment to gender equality here.


01 #PeoplePowered

02 Breaking Taboos

03 Moving Care Closer to Consumers

04 Innovating on Investments

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