At Anecca, we recognize that resilient, well-coordinated, and responsive health systems are fundamental to achieving equitable, high-quality healthcare for all. Our Health Systems Strengthening (HSS) program is designed to enhance the capacity, functionality, and sustainability of health systems, particularly in undeserved and hard-to-reach communities.
Leadership and Governance: Strengthening Leadership for Sustainable Health Outcomes
Anecca supports district-led implementation by building the leadership and governance capacity of local health authorities, facility managers, and community structures. Through technical mentorship, coordination platforms, and supportive supervision, we empower leaders to plan, implement, and monitor health programs effectively. Our approach promotes accountability, data-driven decision-making, and inclusive participation of stakeholders to ensure sustainable improvements in HIV, TB, and maternal and child health services across underserved regions.
Health Workforce: Building a Skilled and Motivated Health Workforce
Anecca invests in building the capacity of health managers, frontline workers, and community health cadres through tailored training in leadership, integrated service delivery, data use, and health system responsiveness. This ensures a competent and motivated workforce able to respond to ongoing and emerging health challenges
Health Financing: Promoting Sustainable and Equitable Health Financing
At Anecca, we collaborate with governments, development partners, and stakeholders to enhance domestic resource mobilization, efficient health budgeting, and financial accountability. Our approach focuses on building the capacity of district and national health authorities to plan, allocate, and track resources more effectively. Through technical assistance, we help integrate health financing strategies that ensure equitable access to essential services, particularly for underserved populations such as children and adolescents affected by HIV/AIDS. We advocate for increased public investment in health and support innovative financing mechanisms that contribute to resilient and self-sustaining health systems.
Essential Medicines and Supply Chain Systems: Ensuring Availability and Rational Use of Health Commodities
A functional supply chain system is the backbone of effective healthcare delivery. Anecca supports governments and partners in strengthening national and sub-national supply chain systems to improve the availability and management of medicines, diagnostics, and medical supplies. Anecca’s health supply chain management strategy focuses on ensuring commodity security by enhancing supply chain agility and resilience, particularly during times of uncertainty and disruption. Our approach is designed to strengthen systems that detect and address bottlenecks, potential disruptions, and other issues across the entire supply chain. Quantification and Ordering of Program Commodities and Vaccines: In collaboration with health facilities, district leadership, Regional Referral Hospitals, National Medical Stores, and regional implementing partners, Anecca supports the development of quality annual procurement plans and facilitates timely, routine ordering of essential health commodities. These include ARVs, TB medicines, HIV testing kits, Advanced HIV Disease (AHD) commodities, non-communicable disease (NCD) medications, RMNCH supplies, and vaccines ordered through the national online system to prevent stock-outs. Technical Assistance and Capacity Building: Anecca provides technical assistance through regular support supervision and mentorship in key areas of supply chain management. This includes stock and storage management, monitoring and redistribution of commodities, logistics management information system (LMIS) support, and the use of supply chain data for decision-making. These efforts have led to significant improvements in stock management, including consistently stable ARV stock levels across supported health facilities. Enabling Factors for a Resilient Supply Chain: Anecca actively engages stakeholders to strengthen leadership and governance within the health supply chain system. This includes advocating for dedicated budget allocations and the recruitment of qualified human resources for supply chain roles. As a result, there has been a notable increase in the participation of district leaders in supply chain activities, contributing to stronger and more sustainable systems.

At Anecca, we focus on strengthening service delivery systems to improve access, coverage, and equity in essential health services. We work with public and private sector partners to ensure that quality HIV, TB, RMNCAH, and nutrition services are delivered efficiently and are responsive to the needs of vulnerable populations. Our work includes building frontline workforce capacity, supporting integrated outreach activities, scaling up differentiated service delivery models, and ensuring functional referral and follow-up systems especially in hard-to-reach communities.
Quality Improvement
At Anecca, Quality Improvement is at the heart of our approach to strengthening health systems and improving service delivery. Our QI initiatives focus on building the capacity of health workers and health systems to continuously identify gaps, implement changes, and monitor progress toward better outcomes for mothers, newborns, children, adolescents, and people living with HIV. Through strategic partnerships with Ministries of Health, partners, and community structures, Anecca supports the establishment and functionality of QI structures at both facility and district levels. This includes the formation and mentorship of District QI Committees, training of QI coaches, and continuous professional development for frontline health workers. The approach prioritizes the use of data for decision-making, innovation, and sustainability. We support facilities to generate and utilize QI dashboards, conduct root cause analyses, and apply evidence-based solutions that respond to local challenges in service delivery. Our tailored mentorship and coaching models have contributed to improved outcomes in areas such as HIV viral load suppression among children and adolescents, Cervical cancer screening, and integration of non-communicable disease screening and management into routine HIV care. By embedding QI into routine health services, Anecca ensures that quality is not just a goal but a culture.
Community Engagement: Empowering Communities to Drive Health Outcomes
Community systems are central to Anecca’s work. We strengthen the role of community structures such as Village Health Teams (VHTs), Community Health Extension Workers (CHEWs), HIV/TB peer supporters, and local leaders in improving health outcomes. Anecca promotes community-led monitoring, health education, and referral systems, and ensures community voices inform the design and delivery of health interventions. We place special emphasis on vulnerable and underserved groups to promote equity and inclusiveness in health programming.