Skip to main content
USAID

U.S. Global Health Initiative

Principles

The U.S. Government employs seven core principles to guide how it engages in global health. These core principles are derived from the principles outlined in the Paris Declaration on Aid Effectiveness and are woven throughout the U.S. Government's global health programming. They ensure that programs achieve measurable impacts and contribute to sustainable outcomes.

Photo of a woman holding a baby on her back.
  • FOCUSING ON WOMEN, GIRLS & GENDER EQUALITY
    The Women, Girls and Gender Equality principle aims to address gender-related inequalities and disparities that disproportionately compromise the health of women and girls and, in turn, affect families and communities. The U.S. Government focuses on women and girls – including adolescent and preadolescent girls – in the planning, implementation and monitoring and evaluation of health and development programs and policies.
  • SUSTAINABLE COUNTRY-OWNED PROGRAMS
    Country ownership challenges the U.S. Government, recipient nations and donor countries alike to work to create sustainable health systems that are eventually owned, managed and operated by the host government and its people.
  • HEALTH SYSTEMS STRENGTHENING
    Ultimately, for the U.S. Government, health systems strengthening (HSS) is about helping countries save lives. Proven, cost-effective interventions and technologies for combating disease are more likely to be effectively delivered and sustained in the presence of high-performing health systems. Through HSS, the U.S. Government seeks to maximize and sustain its longstanding and continuing investments in the health sector, thereby adding value to its own investments and those of other actors, including country governments, other donors and the private sector.
  • PROMOTING GLOBAL HEALTH PARTNERSHIP
    Partnerships can be an integral part of reaching objectives since not one donor, organization or partner country can address all health needs. The U.S. Government strives to work with a variety of different partners to achieve health outcomes more effectively and efficiently.
  • INTEGRATION
    The integration of different health activities within the sector (family planning counseling at an HIV and AIDS facility and childhood immunization at an antenatal care facility are just a few examples) and in other sectors (health into water and sanitation, education, food security, agriculture, economic growth, microfinance and democracy and governance) can achieve high-yield gains for health.
  • RESEARCH & INNOVATION
    Achievement of the U.S. Government goals requires innovative translation of investments in health research into real and measurable health outcomes. This principle encourages innovation along the scientific continuum, which is reflected in the full range of U.S. Government-funded research.
  • IMPROVE METRICS, MONITORING & EVALUATION
    Monitoring and evaluation should be incorporated throughout the program process, beginning with the assessment of needs and program planning through routine monitoring of implementation with a robust evaluation agenda. The U.S. Government invests to ensure this happens in its own programs, as well as to help build monitoring and evaluation systems within the countries where we work.