Seeks to promote more equitable and effective delivery of basic health services by supporting regional activities. The regional efforts of the Initiative support informed decision-making on health policy and management, health financing, health services improvement, decentralization, and institutional development. Sponsored by USAID and PAHO.

Their Clearinghouse on Health Sector Reform in Latin America and the Caribbean (SINAR) is a WWW service managing and sharing information. Site includes a series of country by country reports on the status of health system reforms. Also provides: news/announcements; thesaurus (translating Spanish/English health terms); grey literature bibliographical database on health reform).

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