Strengthening health systems
When health systems are strengthened, people gain access to comprehensive and user-driven healthcare, with all its components structured.
This inclusive approach entails simultaneous action on the six essential health system building blocks identified by the World Health Organization:
• the health workforce;
• medical products, vaccines and other technologies;
• healthcare provision;
• health information systems;
• health systems financing;
• health governance and policies.
As the French public international technical cooperation agency, Expertise France contributes to strengthening health systems in close cooperation with partner countries, by assisting them with the implementation of the priorities set out in their national health plans.
It mobilises expertise on:
• Health human resources: Training of health workers (doctors, pharmacists, paramedics, community workers), hospital managers and inspection and regulatory authorities; establishment of the forward-looking management of jobs and skills
• Medicines: Improvement in the management of supplies and stocks, fight against fake medicines
• Information systems and e-health: Elaboration of digital health strategies, development of telemedicine, implementation of drug management information systems and capacity building for epidemiological surveillance
• Institutional and hospital governance: Hospital reform, hospital strategic plan, medical projects, service projects, hospital management as well as financial and logistical management
Our main projects
MEDISAFE – Fighting against counterfeit medicines 
2018-2022 – EUR 3.9M (European Union)
The production, trafficking and consumption of counterfeit medicines poses a threat to public health and safety. Expertise France is leading a European consortium that aims to build the capacities of 11 countries (Burundi, Democratic Republic of Congo, Ghana, Ethiopia, Kenya, Malawi, Rwanda, Seychelles, Tanzania, Uganda and Zambia) to prevent, detect and provide an appropriate regional response to counterfeit medicines.
To find out more: https://www.medisafe-p66.eu/
PRISMS – Strengthening hospital hygiene in Burkina Faso
2017-2020 – EUR 3.7M (European Union)
This project aims to strengthen healthcare quality and safety in Burkina Faso by improving hospital hygiene. It ultimately aims to improve patient care and the protection of nursing staff, which will contribute to increasing the level of confidence of users. A total of 21 facilities are benefiting from this project across the country.
MPACOS – Placing women patients at the centre of primary healthcare in Chad
2019-2022 – EUR 4M (Agence française de développement)
By improving healthcare provision (obstetrics, gynaecological, paediatric) and raising awareness of family planning and women’s rights, this project takes an approach to strengthening health systems that involves communities, caregivers and management teams.
RAM – Fighting against antimicrobial resistance in Guinea
2018-2020 – EUR 450,000 (Ministry for Europe and Foreign Affairs and Ministry of Health and Solidarity)
Expertise France, with support from the Guinean National Directorate of Laboratories and National Institute of Health, is implementing a pilot project in 3 referral hospitals in the country, with the aim of establishing a first multisectoral regulatory framework to fight against antimicrobial resistance.
C2D Côte d’Ivoire - Supporting the Ministry of Health
2016-2018 – EUR 3M (Agence française de développement)
In January 2015, Expertise France was called on by the Ivorian Ministry of Health to provide technical assistance for several components:
1) Preparation of the public health code,
2) Implementation of the hospital reform,
3) Development and strengthening of the capacities of the General Inspectorate of Public Health,
4) Establishment of a supervisory and regulatory system for health facilities and professions in the private sector.
For further reading: Lancement du processus de révision du Code de la santé publique de Côte d’Ivoire
